1982133997 NPI number — DR. CYNTHIA L HAN AND ASSOCIATES

Table of content: (NPI 1982133997)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982133997 NPI number — DR. CYNTHIA L HAN AND ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR. CYNTHIA L HAN AND ASSOCIATES
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:
Provider Other Organization Name Type Code:
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:
1982133997
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/05/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3070 BRISTOL PIKE STE 2-220
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BENSALEM
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19020-5361
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-497-1001
Provider Business Mailing Address Fax Number:
215-639-2486

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3320 BRUNSWICK AVE UNIT 130
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAWRENCEVILLE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08648-2432
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-897-1036
Provider Business Practice Location Address Fax Number:
609-897-1141
Provider Enumeration Date:
06/05/2017

Additional Information

Authorized Official

Authorized Official Last Name:
LEVIN
Authorized Official First Name:
ROB
Authorized Official Middle Name:
Authorized Official Title or Position:
BILLING & CREDENTIALING DIRECTOR
Authorized Official Telephone Number:
215-497-1001

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2024 www.npivalidator.com