Provider Demographics
NPI:1073828141
Name:DRX HAMILTON, LLC
Entity Type:Organization
Organization Name:DRX HAMILTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:FABBRO
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:609-890-4100
Mailing Address - Street 1:2222 ROUTE 33
Mailing Address - Street 2:SUITE H
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-1752
Mailing Address - Country:US
Mailing Address - Phone:609-890-4100
Mailing Address - Fax:609-890-4189
Practice Address - Street 1:2222 ROUTE 33
Practice Address - Street 2:SUITE H
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-1752
Practice Address - Country:US
Practice Address - Phone:609-890-4100
Practice Address - Fax:609-890-4189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-13
Last Update Date:2017-11-07
Deactivation Date:2017-10-11
Deactivation Code:
Reactivation Date:2017-11-07
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care