Organization
CHARLES BUSHONG, M D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ROBERT BUSHONG JR. MD (OWNER)
(973) 625-7337
Entity
Organization
Contact information
Practice address
200 E MAIN ST, SUITE C, ROCKAWAY, NJ 07866-3614
(973) 625-7337
(973) 625-5796
Mailing address
200 E MAIN ST, SUITE C, ROCKAWAY, NJ 07866-3614
(973) 625-7337
(973) 625-5796
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA03472800
NJ
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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