Organization
THE OTHER WAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA BRUNET HAMDAN M.D. (VICE PRESIDENT)
(609) 466-2563
Entity
Organization
Contact information
Practice address
923 CHERRY HILL RD, PRINCETON, NJ 08540-7711
(609) 466-2563
(609) 466-0676
Mailing address
923 CHERRY HILL RD, PRINCETON, NJ 08540-7711
(609) 466-2563
(609) 466-0676
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MAO2029400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1C 165540
MEDICARE P'TAN
NJ
Enumeration date
02/01/2011
Last updated
02/01/2011
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