Organization Name: | MARVIN R. HYETT, M.D., P.A. |
NPI Number: | 1033421888 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARVIN R. HYETT (PRESIDENT) |
Mailing Address: | 2021 New Rd Suite 10 Linwood |
State: | NJ US |
Postal Code: | 082211045 |
Phone Number: | 6096531444 |
Fax Number: | 6099262308 |
NPI Enumeration Date: | 07/09/2010 |
NPI Last Update Date: | 07/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |