HAWTHORNE FAMILY PRACTICE NPI 1588878300

NPI Information

HAWTHORNE FAMILY PRACTICE is a family medicine in Hawthorne, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HAWTHORNE FAMILY PRACTICE NPI is 1588878300. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1083 GOFFLE RD
HAWTHORNE, NJ
ZIP 07506-025
Phone: (973) 427-2421
Fax: (973) 427-6205

The provider's authorized official is Enas Tuppo .
The authorized official title is President and has the following contact phone number (973) 427-2421.

The CLIA number assigned to this NPI record is 31D0111383 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 11/2/2010.

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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