Provider Demographics
NPI:1124074109
Name:HIRAMOTO ORTHOPAEDIC & SPORTS MEDICINE PA
Entity type:Organization
Organization Name:HIRAMOTO ORTHOPAEDIC & SPORTS MEDICINE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HIRAMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-429-7600
Mailing Address - Street 1:762 US HIGHWAY 202/206
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-1773
Mailing Address - Country:US
Mailing Address - Phone:908-429-7600
Mailing Address - Fax:908-429-7960
Practice Address - Street 1:762 US HIGHWAY 202/206
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-1773
Practice Address - Country:US
Practice Address - Phone:908-429-7600
Practice Address - Fax:908-429-7960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ074153Medicare ID - Type UnspecifiedPROVIDER ID
NJE79077Medicare UPIN