Provider Demographics
NPI:1619092517
Name:WAYNE HILLS MEDICAL ASSOCIATES PA
Entity Type:Organization
Organization Name:WAYNE HILLS MEDICAL ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AVTAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-595-7456
Mailing Address - Street 1:PO BOX 2336
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470
Mailing Address - Country:US
Mailing Address - Phone:973-595-7456
Mailing Address - Fax:973-904-9119
Practice Address - Street 1:401 HAMBURG TURNPIKE
Practice Address - Street 2:SUITE 107
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470
Practice Address - Country:US
Practice Address - Phone:973-595-7456
Practice Address - Fax:973-904-9119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA39604207RP1001X
NJMA55580207RP1001X
NJMA619370207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty