Provider Demographics
NPI:1861448292
Name:JULIO HIP-FLORES MD PA
Entity Type:Organization
Organization Name:JULIO HIP-FLORES MD PA
Other - Org Name:MEDICAL ASSOCIATES OF CENTRAL JERSEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-356-4665
Mailing Address - Street 1:281 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-3540
Mailing Address - Country:US
Mailing Address - Phone:732-356-4665
Mailing Address - Fax:732-356-4064
Practice Address - Street 1:281 RIVER RD
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-3540
Practice Address - Country:US
Practice Address - Phone:732-356-4665
Practice Address - Fax:732-356-4064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA33889207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ400913Medicare ID - Type Unspecified