Individual
DR. IRWIN HAMETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
77 SCHANCK RD, SUITE B-3, FREEHOLD, NJ 07728-2964
(732) 462-9800
(732) 308-1647
Mailing address
77-55 SCHANCK RD, STE B3, SUITE B3, FREEHOLD, NJ 07728-2942
(732) 462-9800
(732) 462-9800
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MA34616
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-2324992
TAX ID #
NJ
Enumeration date
07/12/2006
Last updated
01/19/2017
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