Provider Demographics
NPI:1316970999
Name:ZOFIA HRYMOC M.D.
Entity type:Organization
Organization Name:ZOFIA HRYMOC M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZOFIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HRYMOC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-390-6666
Mailing Address - Street 1:9 AUER CT STE A
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-5847
Mailing Address - Country:US
Mailing Address - Phone:732-390-6666
Mailing Address - Fax:732-390-7711
Practice Address - Street 1:9 AUER CT STE A
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-5847
Practice Address - Country:US
Practice Address - Phone:732-390-6666
Practice Address - Fax:732-390-7711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0063291Medicaid
NJ0063291Medicaid