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Individual

CHARLES ROBERT BUSHONG JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16 POCONO RD, SUITE 214, DENVILLE, NJ 07834-2901
(973) 627-6129
Mailing address
16 POCONO RD, SUITE 214, DENVILLE, NJ 07834-2901
(973) 627-6129

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA03472800
NJ

Other

Enumeration date
08/14/2006
Last updated
07/03/2015
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