Basic Information
Provider Information
NPI: 1992847057
EntityType: 2
ReplacementNPI:  
OrganizationName: HAMILTON HOSPITALISTS, LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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Mailing Information
Address1: 445 WHITE HORSE AVE
Address2: SUITE 100
City: HAMILTON
State: NJ
PostalCode: 086101410
CountryCode: US
TelephoneNumber: 6095851122
FaxNumber:  
Practice Location
Address1: 445 WHITE HORSE AVE
Address2: SUITE 100
City: HAMILTON
State: NJ
PostalCode: 086101410
CountryCode: US
TelephoneNumber: 6095851122
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/13/2007
LastUpdateDate: 12/23/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: KHEDER
AuthorizedOfficialFirstName: ABDUL-HADY
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 6095851122
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate: 12/23/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000X  Y193400000X SINGLE SPECIALTY GROUPOther Service ProvidersSpecialist 

No ID Information.


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