Provider Demographics
NPI:1568536779
Name:FAMILY PRACTICE ASSOCIATES AT HAMILTON , P.A.
Entity Type:Organization
Organization Name:FAMILY PRACTICE ASSOCIATES AT HAMILTON , P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-689-2904
Mailing Address - Street 1:1799 KLOCKNER RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-2725
Mailing Address - Country:US
Mailing Address - Phone:609-689-2900
Mailing Address - Fax:609-689-2918
Practice Address - Street 1:1799 KLOCKNER RD
Practice Address - Street 2:SUITE 102
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-2725
Practice Address - Country:US
Practice Address - Phone:609-689-2900
Practice Address - Fax:609-689-2918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty