Organization
BOSTON ASSOCIATES REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON JAMES SUPERNAVAGE MSPT (OWNER)
(856) 299-9229
Entity
Organization
Contact information
Practice address
291 HARDING HWY, SUITE 1, CARNEYS POINT, NJ 08069-2229
(856) 299-9229
(856) 299-9226
Mailing address
291 HARDING HWY, SUITE 1, CARNEYS POINT, NJ 08069-2229
(856) 299-9229
(856) 299-9226
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
40QA01075700
NJ
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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