BOSTON ASSOCIATES REHABILITATION LLC; NPI #1912037482

Contact Information

BOSTON ASSOCIATES REHABILITATION LLC

291 HARDING HWY
SUITE 1
CARNEYS POINT TOWNSHIP, NJ 08069-2229

Phone: 856-299-9229
Fax: 856-299-9226
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency

Indicates primary specialty

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NPI Profile & details for BOSTON ASSOCIATES REHABILITATION LLC

NPI Number 1912037482

LBN Legal business name BOSTON ASSOCIATES REHABILITATION LLC

Authorized official JASON SUPERNAVAGE - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/06/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

40QA01075700

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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