Doctor Name: | MR. PHILLIP HOWARD HOSSLER |
NPI Number: | 1366417008 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ATC |
License Number: | 000021 |
Business Practice Address: | East Brunswick High School East Brunswick, NJ - 088162836 |
Business Phone Number: | 7326131618 |
Business Fax Number: | |
Mailing Address: | 68 Hilltop Blvd, EAST BRUNSWICK |
State: | NJ |
Postal Code: | 088162836 |
Phone Number: | 7326131618 |
Fax Number: | |
NPI Enumeration Date: | 02/17/2006 |
NPI Last Update Date: | 04/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 000021 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |