Organization
A.N. HORMILLA, MDPA
Active
Parent organization
A.N. HORMILLA,MDPA
Organization subpart
Yes
Provider details
NPI number
Legal business name
A.N. HORMILLA,MDPA
Authorized official
MR. AMADOR N. HORMILLA MD (MD/OWNER)
(732) 505-0500
Entity
Organization
Contact information
Practice address
508 LAKEHURST RD., SUITE 3B, TOMS RIVER, NJ 08755
(732) 505-0500
(732) 505-0295
Mailing address
508 LAKEHURST RD, SUITE 3B, TOMS RIVER, NJ 08755
(732) 505-0500
(732) 505-0295
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA4576000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3615006
—
NJ
Enumeration date
10/24/2013
Last updated
10/24/2013
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