Provider Demographics
NPI:1891328332
Name:HUNTERDON SPECIALTY CARE PC
Entity Type:Organization
Organization Name:HUNTERDON SPECIALTY CARE PC
Other - Org Name:CENTER FOR HEALTHY WEIGHT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERMONTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-284-1125
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:908-284-1125
Mailing Address - Fax:
Practice Address - Street 1:1738 ROUTE 31 NORTH
Practice Address - Street 2:SUITE 214
Practice Address - City:CLINTON
Practice Address - State:NJ
Practice Address - Zip Code:08809
Practice Address - Country:US
Practice Address - Phone:908-735-3912
Practice Address - Fax:908-735-3913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-12
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty