Healthcare Provider Details
I. General information
NPI: 1639282924
Provider Name (Legal Business Name): RARITAN FAMILY HEALTH CARE PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/17/2006
Last Update Date: 11/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
901 US HWY 202
RARITAN NJ
08869
US
IV. Provider business mailing address
901 US HWY 202
RARITAN NJ
08869
US
V. Phone/Fax
- Phone: 908-253-6640
- Fax: 908-253-6908
- Phone: 908-253-6640
- Fax: 908-253-6908
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOSEPH
F
SCALIA
Title or Position: PRESIDENT
Credential: DO
Phone: 908-231-6672