Provider Demographics
NPI:1235208794
Name:URQUHART, MARC W (MD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:W
Last Name:URQUHART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:534 AVENUE E
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-3987
Mailing Address - Country:US
Mailing Address - Phone:201-436-8289
Mailing Address - Fax:201-471-2434
Practice Address - Street 1:534 AVENUE E
Practice Address - Street 2:SUITE 1B
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-3987
Practice Address - Country:US
Practice Address - Phone:201-436-8289
Practice Address - Fax:201-471-2434
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA71237207X00000X, 207XS0106X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
046589T5TMedicare ID - Type Unspecified
NJH33938Medicare UPIN