# CAPITAL HEALTH PRIMARY CARE PENNINGTON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639472525
- **Authorized official:** NATHAN BOSK (VP AMBULATORY SERVICES DIVISION)
- **Authorized official phone:** (609) 278-5438

## Contact information

- **Practice address:** 2480 PENNINGTON RD, SUITE 108, PENNINGTON, NJ 08534-5227
- **Practice address phone:** (609) 737-6700
- **Mailing address:** PO BOX 8500-9117, PHILADELPHIA, PA 19178-0001
- **Mailing address phone:** (609) 815-7810
- **Mailing address fax:** (609) 815-7814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2010
- **Last updated:** 12/15/2010