| Organization Name: | DR.HILLI FAMILY PRACTICE AND WELLNESS CENTER |
| NPI Number: | 1154460491 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RULA AHMED AL-HILLI (FAMILY PRACTICE) |
| Mailing Address: | 511 Beckett Rd Unit 8 Swedesboro |
| State: | NJ US |
| Postal Code: | 080851548 |
| Phone Number: | 8562412844 |
| Fax Number: | 8562412855 |
| NPI Enumeration Date: | 02/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 25MA07651500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |