MEDICARE: HOUSE CALL MEDICAL PROFESSIONALS

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1578099149
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSE CALL MEDICAL PROFESSIONALS

Provider Business Mailing Address
First Line	:	2227 US HIGHWAY 1
Second Line	:	SUITE 119
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-4402
Country	:	US
Telephone Number	:	908-472-1099
Fax Number	:

Provider Business Practice Location Address
First Line	:	2227 US HIGHWAY 1
Second Line	:	SUITE 119
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-4402
Country	:	US
Telephone Number	:	908-472-1099
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ERIC FINKIEL
Credential	:
Telephone Number	:	908-472-1099

Provider Enumeration Date	:	05/02/2017
Last Update Date	:	05/02/2017

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