Healthcare Provider Details
I. General information
NPI: 1508951617
Provider Name (Legal Business Name): CAPITAL HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/04/2006
Last Update Date: 08/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
446 BELLEVUE AVE
TRENTON NJ
08618-4502
US
IV. Provider business mailing address
PO BOX 8500-3506
PHILADELPHIA PA
19178-3506
US
V. Phone/Fax
- Phone: 609-815-7829
- Fax: 609-815-7814
- Phone: 609-815-7829
- Fax: 609-815-7814
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VM0101X |
| Taxonomy | Maternal & Fetal Medicine Physician |
| License Number | 25MA06086400 |
| License Number State | NJ |
VIII. Authorized Official
Name:
ROBERT
REMSTEIN
Title or Position: VP OF MEDICAL AFFAIRS
Credential: DO
Phone: 609-815-7829