1265605356 NPI number — UNION MEDICAL CENTER,PA

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265605356 NPI number — UNION MEDICAL CENTER,PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNION MEDICAL CENTER,PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
M. JOSEPH FEMAN, MD
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265605356
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/10/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2333 MORRIS AVENUE
Provider Second Line Business Mailing Address:
SIUTE B113
Provider Business Mailing Address City Name:
UNION
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07083-5714
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-686-0809
Provider Business Mailing Address Fax Number:
908-686-0859

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2333 MORRIS AVE
Provider Second Line Business Practice Location Address:
SIUTE B113
Provider Business Practice Location Address City Name:
UNION
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07083-5714
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-686-0809
Provider Business Practice Location Address Fax Number:
908-686-0859
Provider Enumeration Date:
04/09/2008

Additional Information

Authorized Official

Authorized Official Last Name:
FEMAN
Authorized Official First Name:
MORRIS
Authorized Official Middle Name:
JOSEPH
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
908-686-0809

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  MA 20291 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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