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1601 Tilton Rd Suite 4 Northfield NJ 08225-1877 | |
| (609) 407-1119 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 1601 Tilton Rd, Northfield, New Jersey |
| Authorized Official Name and Position | Scott Alan Hernberg (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6094071119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1601 Tilton Rd Suite 4 Northfield NJ 08225-1877 Ph: (609) 407-1119 | 1601 Tilton Rd Suite 4 Northfield NJ 08225-1877 Ph: (609) 407-1119 |
| NPI Number | 1619255288 |
|---|---|
| Provider Enumeration Date | 07/29/2011 |
| Last Update Date | 07/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619255288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 25MB04215800 (New Jersey) | Primary |
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