Provider Demographics
NPI:1700872702
Name:HERBERT J BELL P A
Entity Type:Organization
Organization Name:HERBERT J BELL P A
Other - Org Name:DR. HERBERT J. BELL, P.A.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:609-883-4407
Mailing Address - Street 1:1964 N OLDEN AVENUE EXT
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-2110
Mailing Address - Country:US
Mailing Address - Phone:609-883-4407
Mailing Address - Fax:609-883-4085
Practice Address - Street 1:1964 N OLDEN AVENUE EXT
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08618-2110
Practice Address - Country:US
Practice Address - Phone:609-883-4407
Practice Address - Fax:609-883-4085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-25
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ410024438OtherRAILROAD MEDICARE
NJ2959801Medicaid
NJ0296020001Medicare NSC
NJ755510Medicare ID - Type UnspecifiedCURRENT GROUP NUMBER