Organization
HACKETTSTOWN PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI CARPENTER (OFFICE MANAGER)
(908) 852-8096
Entity
Organization
Contact information
Practice address
4 DOCTORS PARK, SUITE C, HACKETTSTOWN, NJ 07840-1716
(908) 852-8096
(908) 852-5012
Mailing address
4 DOCTORS PARK, SUITE C, HACKETTSTOWN, NJ 07840-1716
(908) 852-8096
(908) 852-5012
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA07788100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060691
—
NJ
01
—
1326045295
TYPE 1 NPI
NJ
Enumeration date
02/28/2012
Last updated
01/04/2016
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