Healthcare Provider Details

I. General information

NPI: 1295929990
Provider Name (Legal Business Name): DENIZ ARMAGAN DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2007
Last Update Date: 10/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 DUCHESS AVE
NORTH MIDDLETOWN NJ
07748-5212
US

IV. Provider business mailing address

16 DUCHESS AVE
NORTH MIDDLETOWN NJ
07748-5212
US

V. Phone/Fax

Practice location:
  • Phone: 619-807-6571
  • Fax: 732-298-1411
Mailing address:
  • Phone: 619-807-6571
  • Fax: 732-298-1411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA01309300
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number35564
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: