Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN FAN, PT, DPT
Active Sole ProprietorBENJAMIN FAN, PT, DPT is a Physical Therapy Assistant healthcare provider located in LAKE COMO, New Jersey. NPI 1932561875 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LAKE COMO, NJ
Registration Details
- NPI Number
- 1932561875
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 21, 2016 (10.256770964272 yrs)
- Last Updated
- Mar 21, 2016
- License
-
40QA01655100 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1719 MAIN STREETLAKE COMO, NJ, 07719Browse NJ providers · Browse ZIP 07719
- Phone
- 7328949200
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LAKE COMO, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN R KOHUTANYCZ | PT, DPT | 1942621933 |
| VINCENT CAVALIERE | — | 1447615364 |
| DR. ROBERT ACHIMOV | PT,DPT | 1811359219 |
| JUSTIN GARDNER | PT, DPT | 1528508041 |
| STEVEN ROZOV | — | 1841709789 |
| CHINTAN PRAGNESH SHAH | PT,DPT | 1043794407 |
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.