Organization
HAWTHORNE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENAS TUPPO MD (PRESIDENT)
(973) 427-2421
Entity
Organization
Contact information
Practice address
1083 GOFFLE RD, HAWTHORNE, NJ 07506-2025
(973) 427-2421
(973) 427-6205
Mailing address
1083 GOFFLE RD, HAWTHORNE, NJ 07506-2025
(973) 427-2421
(973) 427-6205
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
11/02/2010
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