Organization
COMMUNITY HOSPITAL GROUP, INC.
Active
Organization
COMMUNITY HOSPITAL GROUP, INC.
Active
Other names
New Jersey Neuroscience Institute
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BONE (AUTHORIZED OFFICIAL)
(732) 321-7010
Entity
Organization
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7010
(732) 744-5873
Mailing address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7010
(732) 744-5873
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
NJ
208000000X
Pediatrics Physician
—
NJ
2080P0203X
Pediatric Critical Care Medicine Physician
—
NJ
2084N0400X
Neurology Physician
Primary
—
NJ
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
NJ
2084N0600X
Clinical Neurophysiology Physician
—
NJ
2084P0005X
Neurodevelopmental Disabilities Physician
—
NJ
2084V0102X
Vascular Neurology Physician
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5600405
—
NJ
Enumeration date
06/24/2006
Last updated
04/20/2009
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