Organization
RUSHMORE PHYSICAL THERAPY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES H RUSHMORE PT (OWNER)
(856) 764-0494
Entity
Organization
Contact information
Practice address
1361 FAIRVIEW BLVD, SUITE J, DELRAN, NJ 08075-1473
(856) 764-0494
(856) 764-0580
Mailing address
PO BOX 505, MOORESTOWN, NJ 08057-0505
(856) 764-0494
(856) 764-0580
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QAO0262900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0444623000
AMERIHEALTH
NJ
01
—
18155
PA BLUE SHIELD
PA
Enumeration date
08/12/2006
Last updated
10/30/2012
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