Organization
TRANSFORMATIONS PHYSICIANS WEIGHT MANAGEMENT LLC
Active
Other names
Kathleen Hickey, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN ANN HICKEY M.D. (MEDICAL DIRECTOR)
(908) 281-6771
Entity
Organization
Contact information
Practice address
719 HIGHWAY 206, SUITE 101, HILLSBOROUGH, NJ 08844-1536
(908) 281-6771
(908) 281-6439
Mailing address
719 HIGHWAY 206, SUITE 101, HILLSBOROUGH, NJ 08844-1536
(908) 281-6771
(908) 281-6439
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
MA067366
NJ
363LF0000X
Family Nurse Practitioner
26NN09992000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016208
MEDICARE, TYPE UNSPECIFIED
NJ
Enumeration date
04/30/2010
Last updated
05/26/2010
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