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General NPI Number Information
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NPI Number | 1134044688
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Entity Type | Organization
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Legal Business Name | EAST RUTHERFORD PHYSICAL THERAPY
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 228 PARK AVE
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City | EAST RUTHERFORD
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State | NJ
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Zip | 07073-1996
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Country | US
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Telephone | 551-401-4609
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Fax | 201-731-0020
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Provider Business Mailing Address
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Address Line | 228 PARK AVE
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City | EAST RUTHERFORD
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State | NJ
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Zip | 07073-1996
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Country | US
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Telephone | 551-401-4609
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Fax | 201-731-0020
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MAGDALENA BUCZEK
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Credential | PT, DPT
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Telephone | 973-277-3911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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