# A.N. HORMILLA, MDPA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** A.N. HORMILLA,MDPA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275961443
- **Legal business name:** A.N. HORMILLA,MDPA
- **Authorized official:** MR. AMADOR N. HORMILLA MD (MD/OWNER)
- **Authorized official phone:** (732) 505-0500

## Contact information

- **Practice address:** 508 LAKEHURST RD., SUITE 3B, TOMS RIVER, NJ 08755
- **Practice address phone:** (732) 505-0500
- **Practice address fax:** (732) 505-0295
- **Mailing address:** 508 LAKEHURST RD, SUITE 3B, TOMS RIVER, NJ 08755
- **Mailing address phone:** (732) 505-0500
- **Mailing address fax:** (732) 505-0295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA4576000 | NJ | Yes |

## Other

- **Enumeration date:** 10/24/2013
- **Last updated:** 10/24/2013