Healthcare Provider Details

I. General information

NPI: 1346471877
Provider Name (Legal Business Name): ENDOCRINE ASSOCIATES OF WESTFIELD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2009
Last Update Date: 07/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

552 WESTFIELD AVENUE
WESTFIELD NJ
07090
US

IV. Provider business mailing address

552 WESTFIELD AVENUE
WESTFIELD NJ
07090
US

V. Phone/Fax

Practice location:
  • Phone: 908-654-3377
  • Fax: 908-654-4044
Mailing address:
  • Phone: 908-654-3377
  • Fax: 908-654-4044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number25MA02571100
License Number StateNJ

VIII. Authorized Official

Name: DR. ROBERT A FUHRMAN
Title or Position: OWNER
Credential: MD, FACP, FACE
Phone: 908-654-3377