Mr Froilan Maac Mogol, PT | |
94 Athenia Ave, Clifton, NJ 07013-2639 | |
(973) 393-6197 | |
Not Available |
Full Name | Mr Froilan Maac Mogol |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 94 Athenia Ave, Clifton, 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 |
---|---|---|---|
1710176854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 29182 (New York) | Secondary |
225100000X | Physical Therapist | 40QA01273200 (New Jersey) | Primary |
Provider Name | Athome Therapy Solutions - Central Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1790490985 PECOS PAC ID: 7214309293 Enrollment ID: O20230221002354 |
Mailing Address | Practice Location Address |
---|---|
Mr Froilan Maac Mogol, PT 94 Athenia Ave, Clifton, NJ 07013-2639 Ph: (973) 393-6197 | Mr Froilan Maac Mogol, PT 94 Athenia Ave, Clifton, NJ 07013-2639 Ph: (973) 393-6197 |
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