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1336286384

NPI Code Detail

MEDICARE: NBN INFUSIONS INC

MEDICARE: NBN INFUSIONS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		NJ
2	3336C0003X	Community/Retail Pharmacy	28R500454200	NJ
3	3336H0001X	Home Infusion Therapy Pharmacy	28R500454200	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0004052000	OTHER	PA	PERSONAL CHOICE
2	19968	OTHER	NJ	UNIVERSITY HEALTH PLANS
3	34546	OTHER	PA	HEALTH PARTNERS
4	43512	OTHER	NJ	AMERIGROUP
5	0004052000	OTHER	PA	KEYSTONE HEALTH PLAN
6	116388	OTHER	NJ	AETNA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	3193327	OTHER	AZ	NCPDP
9	A1000663	OTHER	NJ	OXFORD
10	3193327	OTHER	NJ	NAPB NUMBER
11	0004052000	OTHER	NJ	AMERIHEALTH
12	1036043	OTHER	NJ	HORIZON NJ HEALTH
13	BU0000115-01	OTHER	NJ	AMERICHOICE NJ
14	2K0662	OTHER	NJ	HEALTHNET

General Provider Information

NPI Number	:	1336286384
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NBN INFUSIONS INC

Provider Business Mailing Address
First Line	:	2 PIN OAK LN
Second Line	:	UNIT 250
City	:	CHERRY HILL
State	:	NJ
Zip	:	08003-1632
Country	:	US
Telephone Number	:	856-669-0217
Fax Number	:	856-424-8913

Provider Business Practice Location Address
First Line	:	2 PIN OAK LN
Second Line	:	UNIT 250
City	:	CHERRY HILL
State	:	NJ
Zip	:	08003-1630
Country	:	US
Telephone Number	:	856-669-0217
Fax Number	:	856-424-8913

Authorized Official
Title or Position	:	COO
Name	:	MR. JOSEPH KARL BOETTCHER JR.
Credential	:
Telephone Number	:	856-669-0217

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	09/08/2010

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Directions to “NBN INFUSIONS INC ” Practice Location

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