Provider Demographics
NPI:1992753479
Name:HAMILTON GENERAL SURGERY LLC
Entity type:Organization
Organization Name:HAMILTON GENERAL SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIJAY
Authorized Official - Middle Name:R
Authorized Official - Last Name:VASWANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-585-3900
Mailing Address - Street 1:311 WHITE HORSE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08610-1411
Mailing Address - Country:US
Mailing Address - Phone:609-585-3900
Mailing Address - Fax:609-585-3365
Practice Address - Street 1:311 WHITE HORSE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08610-1411
Practice Address - Country:US
Practice Address - Phone:609-585-3900
Practice Address - Fax:609-585-3365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA072849000208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2K3779OtherHEALTHNET
2720742OtherAETNA USHC
2153551OtherUNITED HEALTHCARE
P2531958OtherOXFORD
NJ8631107Medicaid
100003627000OtherAMERICHOICE
2720742OtherAMERIGROUP
100003627000OtherAMERICHOICE
H45892Medicare UPIN