Active NPIIndividual providerSole proprietor

Eldebrando O Estomo, PT

Physical Therapist in Milltown, New Jersey

NPI Number1194777102
Practice location
186 N Main St, Suite A, Milltown, NJ 08850-1418
Fax
732-545-1185
Last updated
July 8, 2007

Eldebrando Orcullo Estomo is a Physical Therapist based in Milltown, NJ. Eldebrando Orcullo Estomo practices in Milltown, NJ and has the professional credentials of PT. The NPI Number for Eldebrando Orcullo Estomo is 1194777102 and holds a License No. 40QA00613400 (NJ). The current practice location address for Eldebrando Orcullo Estomo is 186 N Main St, Suite A, Milltown, NJ 08850-1418 and can be reached out via phone at 732-418-0004 and via fax at 732-545-1185.

Provider Profile Details

NPI Number
1194777102
Provider Name
Eldebrando Orcullo Estomo
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
186 N Main St, Suite A, Milltown, NJ 08850-1418
Phone Number
732-418-0004
Fax Number
732-545-1185
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
May 17, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
186 N Main St
Suite A
Milltown, NJ 08850-1418
Zip
08850-1418
Phone Number
732-418-0004
Fax Number
732-545-1185
Milltown, NJ 08850Get directions →

Provider Business Mailing Address Details

Address
29 Port Mercer RD
Lawrenceville, NJ 08648-1341
City
Lawrenceville
State
NJ
Zip
08648-1341
Phone Number
609-520-8647

License Information

License Number
40QA00613400
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Eldebrando O Estomo, PT?

The NPI number of Eldebrando O Estomo, PT is 1194777102. It was assigned on May 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Eldebrando O Estomo, PT?

Eldebrando O Estomo, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00613400.

Where does Eldebrando O Estomo, PT practice?

The practice location is 186 N Main St, Suite A, Milltown, NJ 08850-1418. The office can be reached at 732-418-0004 (phone) or 732-545-1185 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194777102 directly on the NPPES registry website.

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