Healthcare Provider Details

I. General information

NPI: 1306540620
Provider Name (Legal Business Name): DIMER HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 03/30/2023
Certification Date: 03/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 HAMPSHIRE DR
MENDHAM NJ
07945-2004
US

IV. Provider business mailing address

4 HAMPSHIRE DR
MENDHAM NJ
07945-2004
US

V. Phone/Fax

Practice location:
  • Phone: 973-464-8363
  • Fax:
Mailing address:
  • Phone: 973-464-8363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: CAROLINE HODGE
Title or Position: CEO
Credential: PA
Phone: 973-464-8363