Organization
CLASSIC HEALTHCARE PHYSICIANS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER BOLICH D.O. (OWNER)
(609) 653-3100
Entity
Organization
Contact information
Practice address
18 CLOVER HILL CIR, EGG HARBOR TWP, NJ 08234-7557
(609) 653-3100
(609) 653-3155
Mailing address
18 CLOVER HILL CIR, EGG HARBOR TWP, NJ 08234-7557
(609) 653-3100
(609) 653-3155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB07406800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110246172
RAILROAD MEDICARE
NJ
Enumeration date
01/19/2010
Last updated
01/19/2010
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