Organization
HILLSBOROUGH INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YANTO MEIYER GULTOM M.D. (CEO)
(908) 428-4840
Entity
Organization
Contact information
Practice address
491 AMWELL ROAD, SUITE 200, HILLSBOROUGH, NJ 08844
(908) 428-4840
(908) 281-0336
Mailing address
87 TIMBERHILL DRIVE, FRANKLIN PARK, NJ 08823
(732) 940-0624
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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