Provider Demographics
NPI:1720288343
Name:HILLSBOROUGH MEDICAL ASSOCIATES, PA
Entity Type:Organization
Organization Name:HILLSBOROUGH MEDICAL ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARPREET
Authorized Official - Middle Name:K
Authorized Official - Last Name:BAGGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-359-4150
Mailing Address - Street 1:349 ROUTE 206
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844
Mailing Address - Country:US
Mailing Address - Phone:908-359-4150
Mailing Address - Fax:908-359-9548
Practice Address - Street 1:349 ROUTE 206
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844
Practice Address - Country:US
Practice Address - Phone:908-359-4150
Practice Address - Fax:908-359-9548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-22
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06080500207Q00000X
NJ25MA07685900207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
I14626Medicare UPIN
082483Medicare PIN