Healthcare Provider Details

I. General information

NPI: 1821018268
Provider Name (Legal Business Name): ASHURST FAMILY PHYSICIANS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23659 COLUMBUS RD SUITE 4
COLUMBUS NJ
08022-1979
US

IV. Provider business mailing address

1564 ROUTE 38 SUITE 6A
LUMBERTON NJ
08048-2939
US

V. Phone/Fax

Practice location:
  • Phone: 609-702-5510
  • Fax: 609-267-0642
Mailing address:
  • Phone: 609-298-3304
  • Fax: 609-298-7091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT J. BROSS
Title or Position: PRESIDENT
Credential: MD
Phone: 609-702-5510