Provider Demographics
NPI:1710310800
Name:HUNTERDON MEDICAL CENTER
Entity Type:Organization
Organization Name:HUNTERDON MEDICAL CENTER
Other - Org Name:HUNTERDON BREAST SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HOSKINS
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:908-788-6429
Mailing Address - Street 1:121 ROUTE 31
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-5744
Mailing Address - Country:US
Mailing Address - Phone:908-968-3162
Mailing Address - Fax:908-968-3181
Practice Address - Street 1:121 ROUTE 31
Practice Address - Street 2:SUITE 1000
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-5744
Practice Address - Country:US
Practice Address - Phone:908-968-3162
Practice Address - Fax:908-968-3181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-13
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07973700208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty