Provider Demographics
NPI:1033421888
Name:MARVIN R. HYETT, M.D., P.A.
Entity Type:Organization
Organization Name:MARVIN R. HYETT, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:HYETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-653-1444
Mailing Address - Street 1:2021 NEW RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1045
Mailing Address - Country:US
Mailing Address - Phone:609-653-1444
Mailing Address - Fax:609-926-2308
Practice Address - Street 1:2021 NEW RD
Practice Address - Street 2:SUITE 10
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1045
Practice Address - Country:US
Practice Address - Phone:609-653-1444
Practice Address - Fax:609-926-2308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-09
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJB32665Medicare UPIN