| Kathleen Hickey, M.d. | |
|
719 Highway 206 Suite 101 Hillsborough NJ 08844-1536 | |
| (908) 281-6771 | |
| (908) 281-6439 |
| Full Name | Kathleen Hickey, M.d. |
|---|---|
| Speciality | Family Medicine - Obesity Medicine |
| Location | 719 Highway 206, Hillsborough, New Jersey |
| Authorized Official Name and Position | Kathleen Ann Hickey (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9082816771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Hickey, M.d. 719 Highway 206 Suite 101 Hillsborough NJ 08844-1536 Ph: (908) 281-6771 | Kathleen Hickey, M.d. 719 Highway 206 Suite 101 Hillsborough NJ 08844-1536 Ph: (908) 281-6771 |
| NPI Number | 1205153251 |
|---|---|
| Provider Enumeration Date | 04/30/2010 |
| Last Update Date | 05/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205153251 | NPI | - | NPPES |
| 016208 | Other | NJ | MEDICARE, TYPE UNSPECIFIED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QB0002X | Family Medicine - Obesity Medicine | MA067366 (New Jersey) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 26NN09992000 (New Jersey) | Secondary |
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