Provider Demographics
NPI:1215185228
Name:NOTTINGHAM ANIMAL HOSPITAL
Entity Type:Organization
Organization Name:NOTTINGHAM ANIMAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NIKKI
Authorized Official - Middle Name:J
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DVM
Authorized Official - Phone:609-587-0222
Mailing Address - Street 1:395 HIGHWAY 33
Mailing Address - Street 2:
Mailing Address - City:MERCERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-4401
Mailing Address - Country:US
Mailing Address - Phone:609-587-0222
Mailing Address - Fax:
Practice Address - Street 1:395 HIGHWAY 33
Practice Address - Street 2:
Practice Address - City:MERCERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08619-4401
Practice Address - Country:US
Practice Address - Phone:609-587-0222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29V100258700284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital