Functional Diagnostics PC
NPI #1922168533 in Keyport, New Jersey
Provider Information
- NPI Number
- 1922168533
- Entity Type
- Organization
- Organization Name
- Functional Diagnostics PC
- Primary Specialty
- Rehabilitation Unit
- Enumeration Date
- Dec 12, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 364 BROAD ST
- City
- Keyport
- State
- New Jersey
- ZIP Code
- 07735-1619
- Phone
- (732) 335-4040
Authorized Official
- Name
- DR. MICHAEL CHILLEMI
- Title
- CEO
- Phone
- (732) 335-4040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Unit |
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