Provider Demographics
NPI:1154320315
Name:AL-HILLI, RULA (MD)
Entity Type:Individual
Prefix:
First Name:RULA
Middle Name:
Last Name:AL-HILLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 BECKETT RD
Mailing Address - Street 2:UNIT 8
Mailing Address - City:LOGAN TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08085-1548
Mailing Address - Country:US
Mailing Address - Phone:856-241-2844
Mailing Address - Fax:856-241-2855
Practice Address - Street 1:511 BECKETT RD
Practice Address - Street 2:UNIT 8
Practice Address - City:LOGAN TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08085-1548
Practice Address - Country:US
Practice Address - Phone:856-241-2844
Practice Address - Fax:856-241-2855
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA076515207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I04730Medicare UPIN