MEDICARE: JOSEF TUAZON D.P.T.

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
1	225100000X	Physical Therapist	PTQA01081200	NJ
2	261QP2000X	Physical Therapy Clinic/Center	40QA01081200	NJ

General Provider Information

NPI Number	:	1467524033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEF TUAZON D.P.T.

Provider Business Mailing Address
First Line	:	35 JOURNAL SQUARE PLAZA
Second Line	:	FL 5
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-4007
Country	:	US
Telephone Number	:	201-946-9600
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 JOURNAL SQUARE PLZ
Second Line	:	FIFTH FLOOR
City	:	JERSEY CITY
State	:	NJ
Zip	:	07306-4007
Country	:	US
Telephone Number	:	201-946-9600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	10/29/2009

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