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NPI Code Detail

MEDICARE: STEFANIE JANE POLITI PT

MEDICARE: STEFANIE JANE POLITI PT
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
1225100000XPhysical Therapist40QA01114600NJ

General Provider Information

NPI Number : 1871612051
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFANIE JANE POLITI PT
Provider Business Mailing Address
First Line : 9 RIVER BEND RD
Second Line :
City : CLINTON
State : NJ
Zip : 08809-2034
Country : US
Telephone Number : 908-586-9738
Fax Number :
Provider Business Practice Location Address
First Line : 100 HOLLINSHEAD SPRING RD
Second Line :
City : SKILLMAN
State : NJ
Zip : 08558-2028
Country : US
Telephone Number : 609-159-3656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 07/08/2007

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