MEDICARE: ALLIED HEALTH NETWORK LLC

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
1	225X00000X	Occupational Therapist	46TR00209500	NJ

General Provider Information

NPI Number	:	1427105444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED HEALTH NETWORK LLC

Provider Business Mailing Address
First Line	:	44 WHITEHALL RD
Second Line	:
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816-1318
Country	:	US
Telephone Number	:	732-277-3157
Fax Number	:

Provider Business Practice Location Address
First Line	:	44 WHITEHALL RD
Second Line	:
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816-1318
Country	:	US
Telephone Number	:	732-277-3157
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	GEETA ARORA
Credential	:
Telephone Number	:	732-277-3157

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	09/01/2010

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