Healthcare Provider Details

I. General information

NPI: 1689614927
Provider Name (Legal Business Name): HBA MANAGEMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 03/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 BRICK ROAD
MARLTON NJ
08053
US

IV. Provider business mailing address

92 BRICK RD
MARLTON NJ
08053-2177
US

V. Phone/Fax

Practice location:
  • Phone: 856-489-4520
  • Fax: 856-489-4541
Mailing address:
  • Phone: 856-489-4520
  • Fax: 856-489-4541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283XC2000X
TaxonomyChildren's Rehabilitation Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL ROSIAK
Title or Position: COO
Credential:
Phone: 856-489-4520