Provider Demographics
NPI:1942362181
Name:HUNTERDON MEDICAL CENTER
Entity type:Organization
Organization Name:HUNTERDON MEDICAL CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOSKINS
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:908-788-6429
Mailing Address - Street 1:1738 ROUTE 31 NORTH
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08809-2014
Mailing Address - Country:US
Mailing Address - Phone:908-735-4645
Mailing Address - Fax:908-735-7361
Practice Address - Street 1:1738 ROUTE 31 NO
Practice Address - Street 2:SUITE 203
Practice Address - City:CLINTON
Practice Address - State:NJ
Practice Address - Zip Code:08809-2014
Practice Address - Country:US
Practice Address - Phone:908-735-4645
Practice Address - Fax:908-735-7361
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUNTERDON MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-14
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ58049Medicare ID - Type Unspecified