MEDICARE: PAUL C HILEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	MA21728	NJ
2	207R00000X	Internal Medicine Physician	MA21728	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336145176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL C HILEY MD

Provider Business Mailing Address
First Line	:	2290 W. COUNTY LINE ROAD
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527
Country	:	US
Telephone Number	:	732-942-4455
Fax Number	:	732-942-4459

Provider Business Practice Location Address
First Line	:	2290 W COUNTY LINE RD
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-2267
Country	:	US
Telephone Number	:	732-364-3881
Fax Number	:	732-364-4625

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	02/20/2015

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Directions to “ PAUL C HILEY MD” Practice Location

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