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NPI Code Detail

MEDICARE: MAUSAM RAKESH SHETH PT

MEDICARE: MAUSAM RAKESH SHETH 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 Therapist049025NY
2225100000XPhysical Therapist40QA02394000NJ

General Provider Information

NPI Number : 1245942317
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAUSAM RAKESH SHETH PT
Provider Business Mailing Address
First Line : 981 US HIGHWAY 22 FL 2
Second Line :
City : BRIDGEWATER
State : NJ
Zip : 08807-2946
Country : US
Telephone Number : 201-801-7141
Fax Number : 551-267-6384
Provider Business Practice Location Address
First Line : 2148 OCEAN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-1483
Country : US
Telephone Number : 718-872-7002
Fax Number : 718-872-6899
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2022
Last Update Date : 01/08/2026

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