Charles Bushong, M D

NPI #1265651822 in Rockaway, New Jersey

Provider Information

NPI Number: 1265651822
Entity Type: Organization
Organization Name: Charles Bushong, M D
Primary Specialty: Pediatrics
Enumeration Date: Apr 24, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 200 E MAIN ST
Address 2: SUITE C
City: Rockaway
State: New Jersey
ZIP Code: 07866-3614
Phone: (973) 625-7337

Authorized Official

Name: CHARLES ROBERT BUSHONG JR., MD
Title: OWNER
Phone: (973) 625-7337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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