Healthcare Provider Details

I. General information

NPI: 1659392413
Provider Name (Legal Business Name): MARGARET L HURLEY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 N MAIN ST
WOODSTOWN NJ
08098-1308
US

IV. Provider business mailing address

303 N MAIN ST
WOODSTOWN NJ
08098-1308
US

V. Phone/Fax

Practice location:
  • Phone: 856-769-7737
  • Fax: 856-769-8291
Mailing address:
  • Phone: 856-769-8088
  • Fax: 856-769-8291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMR05534600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: