Healthcare Provider Details
I. General information
NPI: 1629130307
Provider Name (Legal Business Name): HUNTERDON MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/15/2006
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
190 STATE ROUTE 31 SUITE 100
FLEMINGTON NJ
08822-5773
US
IV. Provider business mailing address
190 STATE ROUTE 31 SUITE 100
FLEMINGTON NJ
08822-5773
US
V. Phone/Fax
- Phone: 908-788-6654
- Fax: 908-788-6452
- Phone: 908-788-6654
- Fax: 908-788-6452
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GUY
J
HOFFMAN
Title or Position: CHIEF REVENUE OFFICER
Credential:
Phone: 908-237-5495