Organization
EWING INTERNAL MEDICINE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN BOSK (VP AMBULATORY SERVICES DIVISION)
(609) 278-5438
Entity
Organization
Contact information
Practice address
1450 PARKSIDE AVE, SUITE 21, EWING, NJ 08638-2946
(609) 883-9800
(609) 883-4350
Mailing address
P.O. BOX 8500-8616, PHILADELPHIA, PA 19178-8616
(609) 815-7810
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0203220
—
NJ
Enumeration date
05/19/2009
Last updated
08/24/2010
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