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NPI Code Detail

MEDICARE: PALAK MULJI P.T.

MEDICARE: PALAK MULJI 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
1225100000XPhysical Therapist40QA01163300NJ

General Provider Information

NPI Number : 1831398221
Entity Type Code : Individual
Provider Name (Legal Business Name) : PALAK MULJI P.T.
Provider Business Mailing Address
First Line : 2361 S WHITTMORE ST
Second Line :
City : FURLONG
State : PA
Zip : 18925-1549
Country : US
Telephone Number : 215-345-1091
Fax Number :
Provider Business Practice Location Address
First Line : 730 S BROAD ST
Second Line :
City : LANSDALE
State : PA
Zip : 19446-5211
Country : US
Telephone Number : 215-855-9871
Fax Number : 215-855-8748
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2007
Last Update Date : 11/06/2012

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