Most Relevant Information
Provider Data
| NPI Number: | 1003404013 |
| Provider Name: | ERIC SHAFER |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 40QA01982500 |
Most Important Dates
| Enumeration Date: | 01/05/2021 |
| Last Updated: | 02/02/2022 |
Provider Practice Location
11 EAGLE ROCK AVE STE 201
EAST HANOVER
NJ
079363167
Practice Location Phone/Fax
| Phone: | 9738879000 |
| Fax: | 9738873816 |
Provider Mailing Location
11 EAGLE ROCK AVE STE 201
EAST HANOVER
NJ
079363167
Provider Mailing Phone/Fax
| Phone: | 9738879000 |
| Fax: | 9738873816 |