Healthcare Provider Details

I. General information

NPI: 1962208819
Provider Name (Legal Business Name): ENSPIRE CONSULTING GROUP HAMMONTON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2025
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 S WHITE HORSE PIKE UNIT B
HAMMONTON NJ
08037-2014
US

IV. Provider business mailing address

630 S WHITE HORSE PIKE UNIT B
HAMMONTON NJ
08037-2014
US

V. Phone/Fax

Practice location:
  • Phone: 215-845-5869
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANK EDWARDS
Title or Position: CEO
Credential:
Phone: 215-219-9333