Provider Demographics
NPI:1295777845
Name:HEADS AND FACES, INC
Entity type:Organization
Organization Name:HEADS AND FACES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:M
Authorized Official - Last Name:SACKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:908-387-1300
Mailing Address - Street 1:27 BLACKSMITH RD STE 200
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1870
Mailing Address - Country:US
Mailing Address - Phone:215-497-1001
Mailing Address - Fax:215-497-0490
Practice Address - Street 1:481 MEMORIAL PKWY
Practice Address - Street 2:
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865-1574
Practice Address - Country:US
Practice Address - Phone:908-387-1300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
5460319OtherAETNA
1815523OtherHIGHMARK
=========OtherHORIZON
1815523OtherHIGHMARK
D60752Medicare UPIN