NPI 1003485012
Elite PT LLC
Practice location
- Address
- 495 N 13th St, Newark, NJ 07107-1317
- Phone
- (973) 732-5959
- Mailing address
- 2619 Frederick Ter, Union, NJ 07083-5603
Authorised official
- Name
- Mohamed Masoud
- Title
- Owner
- Phone
- (908) 590-2620
Registered specialties
Physical Therapy Clinic/Center
Primary
Registry record
- NPI
- 1003485012
- Entity type
- Organization
- NPI issued
- 23 Jun 2021
- Record last updated
- 16 Aug 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.