Provider Demographics
NPI:1689614927
Name:HBA MANAGEMENT, INC.
Entity type:Organization
Organization Name:HBA MANAGEMENT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSIAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-489-4520
Mailing Address - Street 1:92 BRICK RD
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-2177
Mailing Address - Country:US
Mailing Address - Phone:856-489-4520
Mailing Address - Fax:856-489-4541
Practice Address - Street 1:92 BRICK ROAD
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053
Practice Address - Country:US
Practice Address - Phone:856-489-4520
Practice Address - Fax:856-489-4541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283XC2000XHospitalsRehabilitation HospitalChildren
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7584407Medicaid
PA0018422500001Medicaid
313302Medicare PIN