Provider Demographics
NPI:1275642449
Name:HUTCHISON, ROBERT W (DPM)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:W
Last Name:HUTCHISON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 GALLOPING HILL RD
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-7951
Mailing Address - Country:US
Mailing Address - Phone:908-688-9100
Mailing Address - Fax:908-688-9101
Practice Address - Street 1:1000 GALLOPING HILL RD
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-7951
Practice Address - Country:US
Practice Address - Phone:908-688-9100
Practice Address - Fax:908-688-9101
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00257000213E00000X
NYN006069213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0859225000OtherAMERIHEALTH HMO
1140193OtherHORIZON NJ HEALTH
5931465003OtherCIGNA HEALTH PLANS
1K7205OtherHEALTH NET
81428OtherOPERATING ENGINEERS
1400243OtherGHI
33978OtherUNIVERSITY HEALTH PLANS
3964640001OtherHEALTHNOW DMERC
985510OtherAMERIHEALTH PPO
0000207581301OtherUNITED HEALTH CARE
030002570NJ01OtherANTHEM HEALTH
NJ8262004Medicaid
P2203845OtherOXFORD
3964640001OtherHEALTHNOW DMERC
5931465003OtherCIGNA HEALTH PLANS
U80197Medicare UPIN