NPI 1801927397
Jerseyrehab
Practice location
- Address
- 495 N 13th St, Newark, NJ 07107-1317
- Phone
- (973) 268-1444
- Fax
- (973) 482-3004
- Mailing address
- 234 Mount Prospect Ave, Newark, NJ 07104-2006
Authorised official
- Name
- Edwin M Gangemi
- Title
- MD
- Phone
- (973) 482-1614
Registered specialties (4)
Physical Medicine & Rehabilitation Physician
Primary
Physical Medicine & Rehabilitation Physician
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Registry record
- NPI
- 1801927397
- Entity type
- Organization
- NPI issued
- 8 Mar 2007
- Record last updated
- 16 May 2008
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.