Provider Demographics
NPI:1154477537
Name:HAMLETT, JOE FRANK (MD)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:FRANK
Last Name:HAMLETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 HERITAGE WAY
Mailing Address - Street 2:
Mailing Address - City:BELLE MEAD
Mailing Address - State:NJ
Mailing Address - Zip Code:08502-5822
Mailing Address - Country:US
Mailing Address - Phone:908-874-8570
Mailing Address - Fax:908-359-7310
Practice Address - Street 1:253 WITHERSPOON ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-3211
Practice Address - Country:US
Practice Address - Phone:609-497-4431
Practice Address - Fax:609-497-4988
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA26480146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ109303AR7Medicare PIN