Provider Demographics
NPI:1275752404
Name:HUBSHER, MERRITT SETH (MD)
Entity Type:Individual
Prefix:DR
First Name:MERRITT
Middle Name:SETH
Last Name:HUBSHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:210 MALAPARDIS RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR KNOLLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07927-1109
Mailing Address - Country:US
Mailing Address - Phone:973-605-5000
Mailing Address - Fax:973-898-9305
Practice Address - Street 1:210 MALAPARDIS RD
Practice Address - Street 2:SUITE 204
Practice Address - City:CEDAR KNOLLS
Practice Address - State:NJ
Practice Address - Zip Code:07927-1109
Practice Address - Country:US
Practice Address - Phone:973-605-5000
Practice Address - Fax:973-898-9305
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA491742084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry