Individual
DR. PATRICK HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 HIGH ST, NUTLEY, NJ 07110-1132
(973) 284-0020
(973) 284-6310
Mailing address
777 PASSAIC AVE, SUITE 360, CLIFTON, NJ 07012-1804
(973) 284-0020
(973) 284-6310
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA05292900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5396107
—
NJ
Enumeration date
09/25/2006
Last updated
01/10/2024
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