Active NPIIndividual provider

Colin A Bethel, MD

Surgery, Pediatric Surgery in Maplewood, New Jersey

NPI Number1871528943
Practice location
2130 Millburn Avenue, Suite C-1, Maplewood, NJ 07040
Fax
973-549-6079
Last updated
December 21, 2010

Colin A Bethel is a Surgery, Pediatric Surgery based in Maplewood, NJ. Colin A Bethel practices in Maplewood, NJ and has the professional credentials of MD. The NPI Number for Colin A Bethel is 1871528943 and holds a License No. 25MA06559800 (NJ). The current practice location address for Colin A Bethel is 2130 Millburn Avenue, Suite C-1, Maplewood, NJ 07040 and can be reached out via phone at 888-287-3652 and via fax at 973-549-6079.

Provider Profile Details

NPI Number
1871528943
Provider Name
Colin A Bethel
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2130 Millburn Avenue, Suite C-1, Maplewood, NJ 07040
Phone Number
888-287-3652
Fax Number
973-549-6079
Primary Taxonomy
Surgery, Pediatric Surgery · 2086S0120X
Sole Proprietor
No
Provider Enumeration Date
July 11, 2006
Last Update Date
December 21, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
2130 Millburn Avenue
Suite C-1
Maplewood, NJ 07040
Zip
07040
Phone Number
888-287-3652
Fax Number
973-549-6079
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
P.o. Box 785361
Pediatric Surgery Group
Philadelphia, PA 19178
City
Philadelphia
State
PA
Zip
19178
Phone Number
888-282-3652
Fax Number
973-549-6079

License Information

License Number
25MA06559800
License State
NJ
Taxonomy
Surgery, Pediatric Surgery · 2086S0120X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Colin A Bethel, MD?

The NPI number of Colin A Bethel, MD is 1871528943. It was assigned on July 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Colin A Bethel, MD?

Colin A Bethel, MD is registered under the primary taxonomy Surgery, Pediatric Surgery (code 2086S0120X), licensed in NJ under license number 25MA06559800.

Where does Colin A Bethel, MD practice?

The practice location is 2130 Millburn Avenue, Suite C-1, Maplewood, NJ 07040. The office can be reached at 888-287-3652 (phone) or 973-549-6079 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871528943 directly on the NPPES registry website.

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