Basic Information
| Provider Information | |||||||||
| NPI: | 1942658471 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1865 MARLTON PIKE E | ||||||||
| Address2: | 2ND FLOOR SLEEP MEDICINE | ||||||||
| City: | CHERRY HILL | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080032013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2156627772 | ||||||||
| FaxNumber: | 8564290589 | ||||||||
| Practice Location | |||||||||
| Address1: | 1865 MARLTON PIKE E | ||||||||
| Address2: | 2ND FLOOR SLEEP MEDICINE | ||||||||
| City: | CHERRY HILL | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080032013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2156627772 | ||||||||
| FaxNumber: | 8564290589 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/25/2016 | ||||||||
| LastUpdateDate: | 05/25/2016 | ||||||||
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| AuthorizedOfficialLastName: | JOHNSTON | ||||||||
| AuthorizedOfficialFirstName: | ELIZABETH | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 2156627583 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RS0012X | NJ | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine |
No ID Information.