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Individual

JILL S. HUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
465 UNION AVE STE B, BRIDGEWATER, NJ 08807
(908) 864-4820
(908) 864-4819
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 864-4820
(908) 864-4819

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA06630000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7997108
NJ
Enumeration date
07/05/2006
Last updated
06/22/2019
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