Provider Demographics
NPI:1700394244
Name:HUNTERDON REGIONAL COMMUNITY HEALTH
Entity Type:Organization
Organization Name:HUNTERDON REGIONAL COMMUNITY HEALTH
Other - Org Name:DBA HUNTERDON INTEGRATIVE MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO HUNTERDON REGIONAL COMMUNITY HE
Authorized Official - Prefix:MR
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:PINNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-788-6699
Mailing Address - Street 1:2100 WESCOTT DRIVE
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822
Mailing Address - Country:US
Mailing Address - Phone:908-788-6100
Mailing Address - Fax:
Practice Address - Street 1:1738 RT 31 STE 204
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NJ
Practice Address - Zip Code:08809
Practice Address - Country:US
Practice Address - Phone:908-788-2572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-18
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00034300171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty