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NPI Code Detail

MEDICARE: CESAR DAUG PT

MEDICARE:   CESAR  DAUG  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 Therapist40QA011388NJ

General Provider Information

NPI Number : 1649410655
Entity Type Code : Individual
Provider Name (Legal Business Name) : CESAR DAUG PT
Provider Business Mailing Address
First Line : 7 NEWARK POMPTON TPKE
Second Line :
City : RIVERDALE
State : NJ
Zip : 07457-1142
Country : US
Telephone Number : 973-831-1100
Fax Number :
Provider Business Practice Location Address
First Line : 7 NEWARK POMPTON TPKE
Second Line :
City : RIVERDALE
State : NJ
Zip : 07457-1142
Country : US
Telephone Number : 973-831-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2009
Last Update Date : 03/03/2009

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Directions to “ CESAR DAUG PT” Practice Location

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