Provider Demographics
NPI:1902787476
Name:UROLOGY OF HAMILTON
Entity type:Organization
Organization Name:UROLOGY OF HAMILTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:S
Authorized Official - Last Name:BRACKIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:609-647-1524
Mailing Address - Street 1:2103 KLOCKNER RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3403
Mailing Address - Country:US
Mailing Address - Phone:609-690-0877
Mailing Address - Fax:
Practice Address - Street 1:2051 KLOCKNER RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-3413
Practice Address - Country:US
Practice Address - Phone:609-690-0877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty