Provider Demographics
NPI:1255656344
Name:HAYASHI, FUMITAKA (PHD, MD)
Entity Type:Individual
Prefix:
First Name:FUMITAKA
Middle Name:
Last Name:HAYASHI
Suffix:
Gender:M
Credentials:PHD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 BEECHWOOD LN
Mailing Address - Street 2:
Mailing Address - City:KINNELON
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-2464
Mailing Address - Country:US
Mailing Address - Phone:973-527-3372
Mailing Address - Fax:
Practice Address - Street 1:14 BEECHWOOD LN
Practice Address - Street 2:
Practice Address - City:KINNELON
Practice Address - State:NJ
Practice Address - Zip Code:07405-2464
Practice Address - Country:US
Practice Address - Phone:973-527-3372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-31
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA096927002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry