| Christian Wiedman, DPT | |
|
300 Perrine Rd Ste 305, Old Bridge, NJ 08857-3628 | |
| (877) 532-7837 | |
| Not Available |
| Full Name | Christian Wiedman |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 2 Years |
| Location | 300 Perrine Rd Ste 305, Old Bridge, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891586350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02335100 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Occupational And Physical Therapy, Pllc | 3779873401 | 428 |
| Provider Name | Professional Occupational & Physical Therapy, Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1215487772 PECOS PAC ID: 3779873401 Enrollment ID: O20170118000654 |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Wiedman, DPT 1455 Broad St Ste 250, Bloomfield, NJ 07003-3066 Ph: (877) 532-7837 | Christian Wiedman, DPT 300 Perrine Rd Ste 305, Old Bridge, NJ 08857-3628 Ph: (877) 532-7837 |
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