Healthcare Provider Details

I. General information

NPI: 1619952595
Provider Name (Legal Business Name): HUNTERDON ORTHOPEDIC INSTITUTE PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 01/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8100 WESCOTT DRIVE SUITE 101
FLEMINGTON NJ
08822-4671
US

IV. Provider business mailing address

8100 WESCOTT DRIVE SUITE 101
FLEMINGTON NJ
08822-4671
US

V. Phone/Fax

Practice location:
  • Phone: 908-782-0600
  • Fax: 908-782-7575
Mailing address:
  • Phone: 908-782-0600
  • Fax: 908-782-7575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: PATRICK M COLLALTO
Title or Position: PRESIDENT
Credential: MD
Phone: 908-782-0600