Madison Spine and Physicaltherapy, Inc.
NPI #1063591659 in New Milford, New Jersey
Provider Information
- NPI Number
- 1063591659
- Entity Type
- Organization
- Organization Name
- Madison Spine and Physicaltherapy, Inc.
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Nov 3, 2006
- Last Updated
- Dec 17, 2007
Practice Location
- Address
- 219 RICHMOND AVE
- City
- New Milford
- State
- New Jersey
- ZIP Code
- 07646-2517
- Phone
- (201) 907-3150
Authorized Official
- Name
- MR. PERRY J BONOMO, MSPT
- Title
- PRESIDENT CEO
- Phone
- (201) 907-3150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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