Provider Demographics
NPI:1861716292
Name:HILDERBRAND, RENE FRANCES ANN (DO, RPA-C)
Entity type:Individual
Prefix:
First Name:RENE
Middle Name:FRANCES ANN
Last Name:HILDERBRAND
Suffix:
Gender:F
Credentials:DO, RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 DOLLARD DR
Mailing Address - Street 2:
Mailing Address - City:NORTH BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11703-1513
Mailing Address - Country:US
Mailing Address - Phone:516-287-6087
Mailing Address - Fax:
Practice Address - Street 1:15 NEWARK AVE
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-1123
Practice Address - Country:US
Practice Address - Phone:973-844-9220
Practice Address - Fax:973-844-9221
Is Sole Proprietor?:No
Enumeration Date:2010-03-14
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252229207Q00000X, 208100000X
NY008820-1363A00000X
NJ25MB09749500208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant