Natty Bandasak

NPI 1164964094 · on the registry since 2016

Practice

Address: 55 Eagle Rock Ave
East Hanover, NJ 07936
Phone: (201) 561-4681
Fax: (949) 561-4171
Organisation at this address: Consultcare Solutions Llc
Natty Bandasak Physio Performance
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-11-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey