Provider Demographics
NPI:1972113108
Name:HUBERT, CHERYL ANNE (CERT PHLEBOTOMIST)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANNE
Last Name:HUBERT
Suffix:
Gender:F
Credentials:CERT PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 CEDAR TREE LN
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-2577
Mailing Address - Country:US
Mailing Address - Phone:973-641-9102
Mailing Address - Fax:732-862-1502
Practice Address - Street 1:34 CEDAR TREE LN
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-2577
Practice Address - Country:US
Practice Address - Phone:973-641-9102
Practice Address - Fax:732-862-1502
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25407856246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy