DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GLEN A HOLLEY PA

MEDICARE: GLEN A HOLLEY PA
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
1363A00000XPhysician Assistant25MP00148700NJ
2363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1891889705
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLEN A HOLLEY PA
Provider Business Mailing Address
First Line : 171 LAKE ST
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-2089
Country : US
Telephone Number : 201-785-0011
Fax Number :
Provider Business Practice Location Address
First Line : 171 LAKE ST
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-2089
Country : US
Telephone Number : 201-785-0011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 12/27/2019

Similar Medicare Providers

1538093877 — RAMSEY MEDICAL SOLUTIONS, LLC
Practice Location Address:
171 LAKE ST
RAMSEY, NJ
07446-2089
Practice Phone: 201-327-1990
Practice Fax: 201-849-7740
1861681686 — DOCTOR'S INN MEDICAL CENTER LLC
Practice Location Address:
171 LAKE ST
RAMSEY, NJ
07446-2089
Practice Phone: 201-785-0011
Practice Fax:
1629017579 — KINETIC PHYSICAL THERAPY, PC
Practice Location Address:
171 LAKE ST
RAMSEY, NJ
07446-2089
Practice Phone: 201-327-1990
Practice Fax: 201-327-1921
1487695961 — MR. EVAN M CHAIT P.T.
Practice Location Address:
171 LAKE ST
RAMSEY, NJ
07446-2089
Practice Phone: 201-327-1990
Practice Fax: 201-327-1921
1902959331 — DR. PETER STERN M.D.
Practice Location Address:
171 LAKE ST
RAMSEY, NJ
07446-2089
Practice Phone: 201-785-0011
Practice Fax:
1942438627 — EVAN M. CHAIT, PT, PA
Practice Location Address:
171 LAKE ST
RAMSEY, NJ
07446-2089
Practice Phone: 201-327-1990
Practice Fax: 201-327-1921

Directions to “ GLEN A HOLLEY PA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.