Dazos, Gina

Dazos, Gina is an individual health care provider with primary practice located at 333 Elmwood Avenue , Maplewood NJ 07040. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Dazos, Gina can be contacted via phone (973) 313-2104.

Contact Information

Primary practice address
333 Elmwood Avenue Maplewood NJ 07040
Phone: (973) 313-2104
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 40QB00100800 New Jersey

Profile Details

NPI number 1548686991
LBN Legal business name Dazos, Gina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2014
Last updated Mar 10th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers