Provider Demographics
NPI:1407903594
Name:HOEBICH, KAREN A (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:HOEBICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1139 RARITAN RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-1315
Mailing Address - Country:US
Mailing Address - Phone:732-669-0999
Mailing Address - Fax:732-669-0994
Practice Address - Street 1:1139 RARITAN RD
Practice Address - Street 2:SUITE 204
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-1315
Practice Address - Country:US
Practice Address - Phone:732-669-0999
Practice Address - Fax:732-669-0994
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMD50736207V00000X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E74085Medicare UPIN