Healthcare Provider Details

I. General information

NPI: 1760404735
Provider Name (Legal Business Name): ZAFFARESE PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 US HIGHWAY 130
EAST WINDSOR NJ
08520-2792
US

IV. Provider business mailing address

3 OAKMONT CT
EAST WINDSOR NJ
08520-2509
US

V. Phone/Fax

Practice location:
  • Phone: 609-947-0542
  • Fax: 609-918-9811
Mailing address:
  • Phone: 609-947-0542
  • Fax: 609-918-9811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number1246918
License Number StateNJ

VIII. Authorized Official

Name: MR. STEVEN G ZAFFARESE
Title or Position: SOLE PROPRIETOR
Credential: PT
Phone: 609-947-0542