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1891841466 NPI number — LOUIS C MAGRONE PT, DPT

NPI Number: 1891841466
Health Care Provider/Practitioner: LOUIS C MAGRONE PT, DPT

Information about “1891841466” NPI (LOUIS C MAGRONE PT, DPT) exists in 1891841466 in HTML format HTML  |  1891841466 in plain Text format TXT  |  1891841466 in PDF (Portable Document Format) PDF  |  1891841466 in an XML format XML  formats.

NPI Number : 1891841466 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891841466",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MAGRONE",
    "FirstName": "LOUIS",
    "MiddleName": "C",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT, DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3499 ROUTE 9 N",
    "SecondLineMailingAddress": "SUITE 3 B",
    "MailingAddressCityName": "FREEHOLD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07728-3258",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-409-9985",
    "MailingAddressFaxNumber": "732-409-9986",
    "FirstLinePracticeLocationAddress": "3499 ROUTE 9 N",
    "SecondLinePracticeLocationAddress": "SUITE 3 B",
    "PracticeLocationAddressCityName": "FREEHOLD",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07728-3258",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-409-9985",
    "PracticeLocationAddressFaxNumber": "732-409-9986",
    "EnumerationDate": "01/26/2007",
    "LastUpdateDate": "12/20/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "62-02889",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "40QA01236200",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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