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NPI Code Detail

MEDICARE: MARIA O BEIERLY PT

MEDICARE: MARIA O BEIERLY 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 Therapist40QA01050300NY

General Provider Information

NPI Number : 1588794739
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA O BEIERLY PT
Provider Business Mailing Address
First Line : 1036 STUYVESANT AVE
Second Line :
City : UNION
State : NJ
Zip : 07083-6023
Country : US
Telephone Number : 908-851-0800
Fax Number : 908-851-0807
Provider Business Practice Location Address
First Line : 1036 STUYVESANT AVE
Second Line :
City : UNION
State : NJ
Zip : 07083-6023
Country : US
Telephone Number : 908-851-0800
Fax Number : 908-851-0807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 07/08/2007

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Directions to “ MARIA O BEIERLY PT” Practice Location

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