Provider Demographics
NPI:1689393837
Name:VIRTUA HOME CARE -COMMUNITY NURSING SERVICES INC
Entity Type:Organization
Organization Name:VIRTUA HOME CARE -COMMUNITY NURSING SERVICES INC
Other - Org Name:VIRTUA PHARMACY - BERLIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/VIRTUA HOME CARE-COMMUNIT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:MATSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:856-355-0003
Mailing Address - Street 1:100 TOWNSEND AVE
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08009
Mailing Address - Country:US
Mailing Address - Phone:856-322-3080
Mailing Address - Fax:856-322-3081
Practice Address - Street 1:100 TOWNSEND AVE
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:NJ
Practice Address - Zip Code:08009
Practice Address - Country:US
Practice Address - Phone:856-322-3080
Practice Address - Fax:856-322-3081
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VIRTUA HOME CARE-COMMUNITY NURSING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-23
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy