Organization
COMMUNITY HOSPITAL GROUP, INC.
Active
Parent organization
COMMUNITY HOSPITAL GROUP, INC.
Other names
JFK Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HOSPITAL GROUP, INC.
Authorized official
MISS TONI AUGUSTINE (DIRECTOR BILLING SERVICES)
(732) 321-7000
Entity
Organization
Contact information
Practice address
80 JAMES ST, 4TH FLOOR, EDISON, NJ 08820-3938
(732) 321-7000
(732) 632-1644
Mailing address
80 JAMES ST, 4TH FLOOR, EDISON, NJ 08820-3938
(732) 321-7000
(732) 632-1644
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22293
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3676811
—
NJ
Enumeration date
07/20/2007
Last updated
07/20/2007
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