Organization
PATRICIA M. HICKS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA HICKS HARTMAN MD (PRESIDENT)
(201) 444-5277
Entity
Organization
Contact information
Practice address
119 FIRST ST, SUITE 5, HO HO KUS, NJ 07423-1575
(201) 444-5277
(201) 444-2607
Mailing address
34 MANOR RD, WYCKOFF, NJ 07481-3461
(201) 444-5277
(201) 444-2607
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MA 38070
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164488284
PERSONAL PHYSICIAN NPI
NJ
Enumeration date
01/16/2011
Last updated
01/16/2011
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