Healthcare Provider Details

I. General information

NPI: 1184149031
Provider Name (Legal Business Name): HUNTERDON AMBULATORY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2017
Last Update Date: 05/23/2024
Certification Date: 05/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 ROUTE 22 WEST STE 103
BRIDGEWATER NJ
08807-2982
US

IV. Provider business mailing address

2100 WESCOTT DR
FLEMINGTON NJ
08822-4603
US

V. Phone/Fax

Practice location:
  • Phone: 908-788-6429
  • Fax:
Mailing address:
  • Phone: 908-237-5595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICHOLE YOSON
Title or Position: MANAGER, REVENUE CYCLE SYSTEMS
Credential:
Phone: 908-788-6100