Healthcare Provider Details
I. General information
NPI: 1356204770
Provider Name (Legal Business Name): HOPE MEDICAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 RIVER RD
NEW MILFORD NJ
07646-3127
US
IV. Provider business mailing address
65 UNION ST
CLOSTER NJ
07624-1641
US
V. Phone/Fax
- Phone: 201-566-2675
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PHILIP
FERMANO
Title or Position: MD
Credential:
Phone: 201-566-2675