Organization
CAPITAL HEALTH SYSTEM
Active
Other names
Institute for Neurosciences
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN BOSK (VP AMBULATORY SERVICES DIVISION)
(609) 278-5438
Entity
Organization
Contact information
Practice address
1401 WHITEHORSE MERCERVILLE ROAD, SUITE 216, MERCERVILLE, NJ 08619-3817
(609) 528-8888
(609) 584-5151
Mailing address
PO BOX 8500-9956, PHILADELPHIA, PA 19178-9956
(609) 815-7810
(609) 815-7814
Taxonomy
Speciality
Code
Description
License number
State
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
Primary
25MA05023500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4013409
—
NJ
Enumeration date
08/05/2007
Last updated
08/30/2010
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