Organization
COURT HOUSE INTERNAL MEDICINE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDELL A NUSCHKE MD (PRESIDENT)
(609) 465-2710
Entity
Organization
Contact information
Practice address
9 BROADWAY, CAPE MAY COURT HOUSE, NJ 08210-1937
(609) 465-2710
(609) 465-8135
Mailing address
9 BROADWAY, CAPE MAY COURT HOUSE, NJ 08210-1937
(609) 465-2710
(609) 463-8135
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0516358001
AMERIHEALTH
—
01
—
1079811
HORIZON NJ HEALTH
—
01
—
22360250
TAX ID#
—
01
—
520509
AETNA OFFICE #3368
—
05
—
7765908
—
NJ
01
—
9661661
GHI
—
01
—
I8257
RAILROAD MEDICARE
—
Enumeration date
07/06/2006
Last updated
04/30/2009
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