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NPI Code Detail

MEDICARE: MR. GERRY SIP NG PHYSICAL THERAPIST

MEDICARE:  MR. GERRY SIP NG  PHYSICAL THERAPIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/CenterNJ

General Provider Information

NPI Number : 1205022191
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GERRY SIP NG PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : 95 NEW YORK AVE
Second Line :
City : DUMONT
State : NJ
Zip : 07628-2409
Country : US
Telephone Number : 201-385-4447
Fax Number :
Provider Business Practice Location Address
First Line : 95 NEW YORK AVE
Second Line :
City : DUMONT
State : NJ
Zip : 07628-2409
Country : US
Telephone Number : 201-385-4447
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2007
Last Update Date : 09/24/2007

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Directions to “ MR. GERRY SIP NG PHYSICAL THERAPIST” Practice Location

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