Provider Demographics
NPI:1073054474
Name:HAMILTON MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:HAMILTON MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WASEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:HAIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-277-2349
Mailing Address - Street 1:100 HORIZON CENTER BLVD
Mailing Address - Street 2:1ST AND 2ND FLOORS
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-1903
Mailing Address - Country:US
Mailing Address - Phone:609-277-2349
Mailing Address - Fax:609-935-4075
Practice Address - Street 1:100 HORIZON CENTER BLVD
Practice Address - Street 2:1ST AND 2ND FLOORS
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08691-1903
Practice Address - Country:US
Practice Address - Phone:609-277-2349
Practice Address - Fax:609-935-4075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-17
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies