Basic Information
Provider Information
NPI: 1023395316
EntityType: 2
ReplacementNPI:  
OrganizationName: HUNTERDON MEDICAL CENTER
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: HUNTERDON ADULT HOSPITALIST SERVICES
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2100 WESCOTT DR
Address2:  
City: FLEMINGTON
State: NJ
PostalCode: 088224603
CountryCode: US
TelephoneNumber: 9082375486
FaxNumber: 9082375488
Practice Location
Address1: 2100 WESCOTT DR
Address2:  
City: FLEMINGTON
State: NJ
PostalCode: 088224603
CountryCode: US
TelephoneNumber: 9082375486
FaxNumber: 9082375488
Other Information
ProviderEnumerationDate: 11/15/2011
LastUpdateDate: 11/28/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: HOSKINS
AuthorizedOfficialFirstName: DEBORAH
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: DIRECTOR OF FINANCE
AuthorizedOfficialTelephone: 9087886429
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MRS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: CPA
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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