Basic Information
| Provider Information | |||||||||
| NPI: | 1447339247 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GRAMATA | ||||||||
| FirstName: | DENNIS | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | PT, MPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 ROSSMOOR DR | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | MONROE TOWNSHIP | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088311566 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6098609913 | ||||||||
| FaxNumber: | 6098609915 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 ROSSMOOR DR | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | MONROE TOWNSHIP | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088311566 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6098609913 | ||||||||
| FaxNumber: | 6098609915 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/03/2006 | ||||||||
| LastUpdateDate: | 10/01/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 40QA00817300 | NJ | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.