Basic Information
| Provider Information | |||||||||
| NPI: | 1710310800 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HUNTERDON MEDICAL CENTER | ||||||||
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| OtherOrganizationName: | HUNTERDON BREAST SURGERY CENTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 121 ROUTE 31 | ||||||||
| Address2: | SUITE 1000 | ||||||||
| City: | FLEMINGTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088225744 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9089683162 | ||||||||
| FaxNumber: | 9089683181 | ||||||||
| Practice Location | |||||||||
| Address1: | 121 ROUTE 31 | ||||||||
| Address2: | SUITE 1000 | ||||||||
| City: | FLEMINGTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088225744 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9089683162 | ||||||||
| FaxNumber: | 9089683181 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/13/2013 | ||||||||
| LastUpdateDate: | 08/22/2013 | ||||||||
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| AuthorizedOfficialLastName: | HOSKINS | ||||||||
| AuthorizedOfficialFirstName: | DEBORAH | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR OF FINANCE | ||||||||
| AuthorizedOfficialTelephone: | 9087886429 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | CPA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 25MA07973700 | NJ | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.