HACKETTSTOWN PEDIATRICS LLC NPI 1316211915

NPI Information

HACKETTSTOWN PEDIATRICS, LLC is an adolescent medicine pediatrics in Hackettstown, NJ. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. HACKETTSTOWN PEDIATRICS, LLC NPI is 1316211915. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4 DOCTORS PARK
SUITE C
HACKETTSTOWN, NJ
ZIP 07840-716
Phone: (908) 852-8096
Fax: (908) 852-5012

The provider's authorized official is Terri Carpenter .
The authorized official title is Office Manager and has the following contact phone number (908) 852-8096.

The CLIA number assigned to this NPI record is 31D0115575 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/28/2012 and was last updated on 1/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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