Provider Demographics
NPI:1609396449
Name:HUNTERDON SPECIALTY CARE PC
Entity Type:Organization
Organization Name:HUNTERDON SPECIALTY CARE PC
Other - Org Name:HUNTERDON MEDISPA AND PLASTIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN DIRECTOR REVENUE CYCLE
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY PAT
Authorized Official - Middle Name:
Authorized Official - Last Name:RENTSCHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-237-5595
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:908-237-5595
Mailing Address - Fax:
Practice Address - Street 1:63 CHURCH ST STE 102
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1627
Practice Address - Country:US
Practice Address - Phone:908-237-4130
Practice Address - Fax:908-237-4131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty