Individual
JOSHUA BOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 PILGRIM RD, SHORT HILLS, NJ 07078-1410
(973) 220-9139
(973) 258-0682
Mailing address
10 PILGRIM RD, SHORT HILLS, NJ 07078-1410
(973) 220-9139
(973) 258-0682
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/06/2014
Last updated
09/03/2014
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