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NPI Code Detail

MEDICARE: MR. DENNIS M. SOLOMON PT

MEDICARE: MR. DENNIS M. SOLOMON 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 Therapist40QA0O736100NJ

General Provider Information

NPI Number : 1780643577
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DENNIS M. SOLOMON PT
Provider Business Mailing Address
First Line : 515 SHIRES WAY
Second Line :
City : EGG HARBOR TWP
State : NJ
Zip : 08234-4825
Country : US
Telephone Number : 609-646-9931
Fax Number : 609-264-0097
Provider Business Practice Location Address
First Line : 2500 ENGLISH CREEK AVE STE 1300
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-5598
Country : US
Telephone Number : 609-677-7002
Fax Number : 609-383-2718
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2006
Last Update Date : 04/09/2025

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