| Abelardo Ethan Termulo Iii, DPT | |
|
505 18th Ave, Lake Como, NJ 07719-3043 | |
| (609) 865-3884 | |
| Not Available |
| Full Name | Abelardo Ethan Termulo Iii |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 505 18th Ave, Lake Como, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649000936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02278800 (New Jersey) | Primary |
| Provider Name | Jag-one Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518017144 PECOS PAC ID: 2769584325 Enrollment ID: O20070228000306 |
| Mailing Address | Practice Location Address |
|---|---|
| Abelardo Ethan Termulo Iii, DPT 505 18th Ave, Lake Como, NJ 07719-3043 Ph: (609) 865-3884 | Abelardo Ethan Termulo Iii, DPT 505 18th Ave, Lake Como, NJ 07719-3043 Ph: (609) 865-3884 |
Chintan Pragnesh Shah, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1719 Main St, Lake Como, NJ 07719 Phone: 732-894-9200 Fax: 732-894-9202 | |
Eleanor C Register, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1719 Main St, Lake Como, NJ 07719 Phone: 732-894-9200 Fax: 732-894-9202 | |
Jose Padua Cariaso, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1719 Main St Unit 101, Lake Como, NJ 07719 Phone: 732-894-9200 Fax: 732-894-9202 | |
Joshua N Chu, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1719 Main St, Lake Como, NJ 07719 Phone: 732-894-9000 Fax: 732-894-9202 | |
Vincent Cavaliere, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1719 Main St, Lake Como, NJ 07719 Phone: 732-894-9200 Fax: 732-894-9202 | |
Justin Gardner, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1719 Main St, Lake Como, NJ 07719 Phone: 732-894-9200 Fax: 732-894-9202 |