Healthcare Provider Details

I. General information

NPI: 1821181462
Provider Name (Legal Business Name): HUNTERDON OTOLARYNGOLOGY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 10/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 SAND HILL ROAD SUITE 302
FLEMINGTON NJ
08822
US

IV. Provider business mailing address

6 SAND HILL ROAD SUITE 302
FLEMINGTON NJ
08822
US

V. Phone/Fax

Practice location:
  • Phone: 908-788-9131
  • Fax: 908-788-0945
Mailing address:
  • Phone: 908-788-9131
  • Fax: 908-788-0945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: AMY L BECKMAN
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 908-788-9131