Provider Demographics
NPI:1922380039
Name:HAMILTON WOMENS HEALTH AND WELLNESS ASSOCIATES
Entity Type:Organization
Organization Name:HAMILTON WOMENS HEALTH AND WELLNESS ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OMNIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMRA-LATIF ESTAFAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-588-0185
Mailing Address - Street 1:311 WHITE HORSE AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08610-1430
Mailing Address - Country:US
Mailing Address - Phone:609-588-0185
Mailing Address - Fax:609-588-0418
Practice Address - Street 1:311 WHITE HORSE AVE
Practice Address - Street 2:SUITE D
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08610-1430
Practice Address - Country:US
Practice Address - Phone:609-588-0185
Practice Address - Fax:609-588-0418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-14
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA07687200207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty