Healthcare Provider Details

I. General information

NPI: 1700394244
Provider Name (Legal Business Name): HUNTERDON REGIONAL COMMUNITY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2018
Last Update Date: 01/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1738 RT 31 STE 204
CLINTON NJ
08809
US

IV. Provider business mailing address

2100 WESCOTT DRIVE
FLEMINGTON NJ
08822
US

V. Phone/Fax

Practice location:
  • Phone: 908-788-2572
  • Fax:
Mailing address:
  • Phone: 908-788-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number25MZ00034300
License Number StateNJ

VIII. Authorized Official

Name: MR. DON PINNER
Title or Position: COO HUNTERDON REGIONAL COMMUNITY HE
Credential:
Phone: 908-788-6699