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Organization

CHILDREN' SPECIALIZED HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH J DOBOSH JR. (VP, FINANCE & CFO)
(908) 301-5455
Entity
Organization

Contact information

Practice address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
(908) 233-3720
(908) 301-5456
Mailing address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
(908) 233-3720
(908) 301-5456

Taxonomy

Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
083003
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8138206
NJ
Enumeration date
02/12/2007
Last updated
08/22/2020
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