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NPI Code Detail

MEDICARE: HUNTERDON PRIMARY CARE, PC

MEDICARE: HUNTERDON PRIMARY CARE, PC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1518502723
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUNTERDON PRIMARY CARE, PC
Provider Business Mailing Address
First Line : 3 MINNEAKONING RD
Second Line :
City : FLEMINGTON
State : NJ
Zip : 08822-5726
Country : US
Telephone Number : 908-284-1125
Fax Number :
Provider Business Practice Location Address
First Line : 71 US HIGHWAY 206
Second Line :
City : HILLSBOROUGH
State : NJ
Zip : 08844-4142
Country : US
Telephone Number : 908-284-1125
Fax Number :
Authorized Official
Title or Position : BILLING MANAGER
Name : WANDA BERMONTIZ
Credential :
Telephone Number : 908-284-1125
Provider Enumeration Date : 11/12/2019
Last Update Date : 03/25/2020

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