Provider Demographics
NPI:1598956955
Name:BRUNSWICK-HILLS OBSTETRICS AND GYNECOLOGY, PA
Entity Type:Organization
Organization Name:BRUNSWICK-HILLS OBSTETRICS AND GYNECOLOGY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:BEIM
Authorized Official - Suffix:
Authorized Official - Credentials:MEDICAL DOCTOR
Authorized Official - Phone:732-967-0033
Mailing Address - Street 1:620 CRANBURY RD
Mailing Address - Street 2:SUITE LL 90
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-4098
Mailing Address - Country:US
Mailing Address - Phone:732-967-0033
Mailing Address - Fax:732-967-0055
Practice Address - Street 1:812 COURTYARD DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4258
Practice Address - Country:US
Practice Address - Phone:732-967-0033
Practice Address - Fax:732-967-0055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04132500174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJH19706Medicare UPIN
NJD06629Medicare UPIN
NJC55017Medicare UPIN
NJC31707Medicare UPIN
NJC53710Medicare UPIN
NJC53037Medicare UPIN
NJG82545Medicare UPIN
NJC55085Medicare UPIN