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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARY J MASCILAK, PT

Active

GARY J MASCILAK, PT is a Physical Medicine & Rehabilitation healthcare provider located in SPARTA, New Jersey. NPI 1881680742 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · SPARTA, NJ

Registration Details

NPI Number
1881680742
Provider Type
Individual
Gender
Male
NPI Issued
Sep 26, 2005 (20.739829019884 yrs)
Last Updated
Jul 22, 2010
Licenses
38MC00455100 (NJ)
40QA00611400 (NJ)

Practice Information

Address
540 LAFAYETTE RD ROUTE 15 SO
SUITE B
SPARTA, NJ, 07871
Browse NJ providers · Browse ZIP 07871
Phone
9739408680
Fax
9739408634
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in SPARTA, NJ

Name Credential NPI
MARY E BRADY MD 1811093768
DR. IAN WENDEL DO 1780902627
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.