Shane Dimasso, DPT | |
444 Kinderkamack Rd, Emerson, NJ 07630-1134 | |
(201) 350-6300 | |
Not Available |
Full Name | Shane Dimasso |
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Gender | Male |
Speciality | Physical Therapist |
Location | 444 Kinderkamack Rd, Emerson, 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 |
---|---|---|---|
1598449399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA02178900 (New Jersey) | Primary |
Provider Name | Trinity Rehab Somerset Pa |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1245789064 PECOS PAC ID: 0547540809 Enrollment ID: O20170113000019 |
Mailing Address | Practice Location Address |
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Shane Dimasso, DPT 470 Bogert Rd, River Edge, NJ 07661-2133 Ph: () - | Shane Dimasso, DPT 444 Kinderkamack Rd, Emerson, NJ 07630-1134 Ph: (201) 350-6300 |
Lauren Giannetti, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 444 Kinderkamack Rd, Emerson, NJ 07630 Phone: 201-350-6300 | |
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