NPI 1033353438

Bayonne Pediatric Therapy Center LLC

Organisation Point of Service Bayonne, NJ

Practice location

Address: 252 Broadway, Bayonne, NJ 07002-2522
Phone: (201) 436-0014
Fax: (201) 436-0019

Authorised official

Name: Kris Mammas
Title: President
Phone: (201) 436-0014

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 46TR00070400 (NJ)

Other Point of Service providers in New Jersey →

Registry record

NPI: 1033353438
Entity type: Organization
NPI issued: 29 Apr 2009
Record last updated: 29 Apr 2009

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.