| Superior Physical Medicine Llc | |
|
309 Orange Rd Montclair NJ 07042-4451 | |
| (973) 783-3606 | |
| (973) 839-3653 |
| Full Name | Superior Physical Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 309 Orange Rd, Montclair, New Jersey |
| Authorized Official Name and Position | William B Holder (PROVIDER/OWNER) |
| Authorized Official Contact | 9738391003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Physical Medicine Llc 309 Orange Rd Montclair NJ 07042-4451 Ph: (973) 783-3606 | Superior Physical Medicine Llc 309 Orange Rd Montclair NJ 07042-4451 Ph: (973) 783-3606 |
| NPI Number | 1114327186 |
|---|---|
| Provider Enumeration Date | 08/27/2014 |
| Last Update Date | 08/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114327186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (New Jersey) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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