Provider Demographics
NPI:1518502723
Name:HUNTERDON PRIMARY CARE, PC
Entity Type:Organization
Organization Name:HUNTERDON PRIMARY CARE, PC
Other - Org Name:YOUR DOCTORS CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERMONTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-284-1125
Mailing Address - Street 1:3 MINNEAKONING RD
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-5726
Mailing Address - Country:US
Mailing Address - Phone:908-284-1125
Mailing Address - Fax:
Practice Address - Street 1:71 US HIGHWAY 206
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4142
Practice Address - Country:US
Practice Address - Phone:908-284-1125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUNTERDON PRIMARY CARE, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-12
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty