Provider Demographics
NPI:1346531530
Name:STROKE & CEREBROVASCULAR CENTER OF NEW JERSEY PC
Entity Type:Organization
Organization Name:STROKE & CEREBROVASCULAR CENTER OF NEW JERSEY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-SSC OF NJ PC
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVERBROOK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-587-6661
Mailing Address - Street 1:PO BOX 8500-8721
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-8721
Mailing Address - Country:US
Mailing Address - Phone:609-588-5081
Mailing Address - Fax:609-588-5086
Practice Address - Street 1:1401 WHITEHORSE MERCERVILLE RD
Practice Address - Street 2:SUITE 212
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3835
Practice Address - Country:US
Practice Address - Phone:609-588-5081
Practice Address - Fax:609-588-5086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-22
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty