Organization
NBN INFUSIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH KARL BOETTCHER JR. (COO)
(856) 669-0217
Entity
Organization
Contact information
Practice address
2 PIN OAK LN, UNIT 250, CHERRY HILL, NJ 08003-1630
(856) 669-0217
(856) 424-8913
Mailing address
2 PIN OAK LN, UNIT 250, CHERRY HILL, NJ 08003-1632
(856) 669-0217
(856) 424-8913
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NJ
3336C0003X
Community/Retail Pharmacy
28R500454200
NJ
3336H0001X
Home Infusion Therapy Pharmacy
Primary
28R500454200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004052000
AMERIHEALTH
NJ
01
—
0004052000
PERSONAL CHOICE
PA
01
—
1036043
HORIZON NJ HEALTH
NJ
01
—
116388
AETNA
NJ
01
—
19968
UNIVERSITY HEALTH PLANS
NJ
01
—
2K0662
HEALTHNET
NJ
01
—
3193327
NCPDP
AZ
01
—
3193327
NAPB NUMBER
NJ
01
—
34546
HEALTH PARTNERS
PA
01
—
43512
AMERIGROUP
NJ
05
—
4533402
—
NJ
01
—
A1000663
OXFORD
NJ
01
—
BU0000115-01
AMERICHOICE NJ
NJ
Enumeration date
01/31/2007
Last updated
09/08/2010
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