| NPI | 1205153251 |
|---|---|
| Other Name | KATHLEEN HICKEY, M.D. |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ANN HICKEY Medical Director 908-281-6771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: NJ MA067366) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NN09992000) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-05-26 |