Organization
NEUROLOGY INSTITUTE OF SOUTH JERSEY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ROBERT BOXMAN D.O. (PRESIDENT)
(609) 748-6696
Entity
Organization
Contact information
Practice address
76 W JIMMIE LEEDS RD, STE 105, GALLOWAY, NJ 08205-9411
(609) 748-6696
(609) 748-6693
Mailing address
76 WEST JIMMIE LEEDS ROAD, STE 105, ABSECON, NJ 08205
(609) 748-6696
(609) 748-6693
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MB06007200
NJ
Other
Enumeration date
10/12/2006
Last updated
01/09/2009
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