Healthcare Provider Details
I. General information
NPI: 1306875273
Provider Name (Legal Business Name): HUNTERDON FAMILY PHYSICIANS INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/02/2006
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
111 STATE ROUTE 31 STE 111
FLEMINGTON NJ
08822-4953
US
IV. Provider business mailing address
111 STATE ROUTE 31 STE 111
FLEMINGTON NJ
08822-4953
US
V. Phone/Fax
- Phone: 908-284-9880
- Fax: 908-782-4316
- Phone: 908-284-9880
- Fax: 908-782-4316
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MARIE
G
BERNARD
Title or Position: OWNER
Credential: M.D.
Phone: 908-782-0657