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Physician Compare National (NPI:1174584064)

HEALTHCARE PROVIDER: GEORGE HOWARD HILLER D.P.M.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1174584064
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1153504857
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110317000417
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HILLER
Individual professional last name
Provider First Name GEORGE
Individual professional first name
Provider Middle Name H
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name NEW YORK COLLEGE OF PODIATRIC MEDICINE
Individual professional's medical school
Graduation Year 1978
Individual professional's medical school graduation year
Primary Specialty PODIATRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 5 -11 SADDLE RIVER RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 6
Group Practice or individual's line 2 address
City FAIR LAWN
Group Practice or individual's city
State NJ
Group Practice or individual's state
Zip Code 074105636
Group Practice or individual's zip code (9 digits when available)
Phone Number 2017975577
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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