Healthcare Provider Details

I. General information

NPI: 1932132933
Provider Name (Legal Business Name): HUNTERDON MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 04/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 WESCOTT DR SUITE 201
FLEMINGTON NJ
08822-4600
US

IV. Provider business mailing address

1100 WESCOTT DR SUITE 201
FLEMINGTON NJ
08822-4600
US

V. Phone/Fax

Practice location:
  • Phone: 908-788-4022
  • Fax: 908-788-4066
Mailing address:
  • Phone: 908-788-4022
  • Fax: 908-788-4066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMA49332
License Number StateNJ

VIII. Authorized Official

Name: MRS. DEBORAH HOSKINS
Title or Position: DIRECTOR OF FINANCE
Credential: CPA
Phone: 908-788-6429