Provider Demographics
NPI:1265605356
Name:UNION MEDICAL CENTER,PA
Entity type:Organization
Organization Name:UNION MEDICAL CENTER,PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MORRIS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:FEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-686-0809
Mailing Address - Street 1:2333 MORRIS AVENUE
Mailing Address - Street 2:SIUTE B113
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-5714
Mailing Address - Country:US
Mailing Address - Phone:908-686-0809
Mailing Address - Fax:908-686-0859
Practice Address - Street 1:2333 MORRIS AVE
Practice Address - Street 2:SIUTE B113
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-5714
Practice Address - Country:US
Practice Address - Phone:908-686-0809
Practice Address - Fax:908-686-0859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA 20291174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty