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NPI Code Detail

MEDICARE: WILLIAM JAMES NASH P.T.

MEDICARE: WILLIAM JAMES NASH P.T.
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
1174400000XSpecialist40QA00184700NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
140QA00184700OTHERNJPT LICENCE #

General Provider Information

NPI Number : 1922035435
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM JAMES NASH P.T.
Provider Business Mailing Address
First Line : 263 ARNEYS MT RD
Second Line :
City : PEMBERTON
State : NJ
Zip : 08068
Country : US
Telephone Number : 609-261-4205
Fax Number :
Provider Business Practice Location Address
First Line : 3001 BRIDGEBORO RD
Second Line :
City : DELRAN
State : NJ
Zip : 08075-9700
Country : US
Telephone Number : 856-764-0494
Fax Number : 856-764-0580
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 07/08/2007

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