Organization
HEIGHTS MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLEN V SCHAFFER (ADMIN)
(201) 288-6364
Entity
Organization
Contact information
Practice address
288 BOULEVARD, HASBROUCK HEIGHTS, NJ 07604-1315
(201) 288-6781
(201) 288-2734
Mailing address
288 BOULEVARD, HASBROUCK HEIGHTS, NJ 07604-1315
(201) 288-6781
(201) 288-2734
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21636
NJ
207R00000X
Internal Medicine Physician
39369
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0113810001
AMERIHEALTH ID
NJ
05
—
2874407
—
NJ
Enumeration date
05/19/2006
Last updated
03/11/2009
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