Provider Demographics
NPI:1467604629
Name:HAMILTON PRINCETON PRACTICE
Entity Type:Organization
Organization Name:HAMILTON PRINCETON PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SEROTTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-585-4900
Mailing Address - Street 1:1255 WHITEHORSE MERCERVILLE RD
Mailing Address - Street 2:BUILDING B SUITE 504 AND 505
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-3800
Mailing Address - Country:US
Mailing Address - Phone:609-585-4900
Mailing Address - Fax:
Practice Address - Street 1:1255 WHITEHORSE MERCERVILLE RD
Practice Address - Street 2:BUILDING B SUITE 504 AND 505
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3800
Practice Address - Country:US
Practice Address - Phone:609-585-4900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07838800174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1831311513OtherPROVIDER ENUMERATOR
1194832683OtherPROVIDER ENUMEATION SYSTEM
1326193749OtherPROVIDER ENUMERATION
NJ1437351210OtherPROVIDER ENUMERATION SYSTEM
NJ1194989517OtherPROVIDER ENUMERATOR
NJ1134227085OtherPROVIDER ENUMERATION