Provider Demographics
NPI:1295344778
Name:HEM, NATHAN VINCENT (PA)
Entity type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:VINCENT
Last Name:HEM
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:80 LAMSON RD
Mailing Address - Street 2:
Mailing Address - City:WEST CREEK
Mailing Address - State:NJ
Mailing Address - Zip Code:08092-9642
Mailing Address - Country:US
Mailing Address - Phone:908-330-0402
Mailing Address - Fax:
Practice Address - Street 1:80 LAMSON RD
Practice Address - Street 2:
Practice Address - City:WEST CREEK
Practice Address - State:NJ
Practice Address - Zip Code:08092-9642
Practice Address - Country:US
Practice Address - Phone:908-330-0402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-30
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant