Provider Demographics
NPI:1114327830
Name:GT URGENT CARE PC
Entity Type:Organization
Organization Name:GT URGENT CARE PC
Other - Org Name:AFC DOCTORS EXPRESS URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIUS
Authorized Official - Middle Name:A
Authorized Official - Last Name:MINGRONI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:856-566-3333
Mailing Address - Street 1:2001 COLLEGE DR STE 11
Mailing Address - Street 2:
Mailing Address - City:CLEMENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08021-5617
Mailing Address - Country:US
Mailing Address - Phone:856-566-3333
Mailing Address - Fax:
Practice Address - Street 1:2001 COLLEGE DR STE 11
Practice Address - Street 2:
Practice Address - City:CLEMENTON
Practice Address - State:NJ
Practice Address - Zip Code:08021-5617
Practice Address - Country:US
Practice Address - Phone:856-566-3333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-29
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care