Provider Demographics
NPI:1548443237
Name:RWJ HAMILTON DIABETES & ENDOCRINOLOGY GROUP PA
Entity type:Organization
Organization Name:RWJ HAMILTON DIABETES & ENDOCRINOLOGY GROUP PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO, SR VP FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:PERNICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-584-6412
Mailing Address - Street 1:1 HAMILTON HEALTH PL
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3542
Mailing Address - Country:US
Mailing Address - Phone:609-689-7283
Mailing Address - Fax:609-584-5923
Practice Address - Street 1:1235 WHITEHORSE MERCERVILLE RD STE 301
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3810
Practice Address - Country:US
Practice Address - Phone:609-581-7725
Practice Address - Fax:609-581-7726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty