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Organization

CHILDRENS SPECIALIZED HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. 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
332BC3200X
Customized Equipment (DME)
Primary
22249
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01000192900
AMERIHEALTH
NJ
01
01000192903
AMERIHEALTH
NJ
01
01000192906
AMERIHEALTH
NJ
01
0778139002
AMERIHEALTH
NJ
01
1025388
HORIZON NJ HEALTH
NJ
01
10832
UNIVERSITY HEALTH PLANS
NJ
01
1621
EMPIRE
NJ
01
313300
HORIZON BCBS
NJ
01
99853
AMERIGROUP
NJ
01
HO1318
OXFORD HEALTH PLANS
NJ
01
IL5516
HEALTHNET
NJ
Enumeration date
02/09/2007
Last updated
08/22/2020
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