Provider Demographics
NPI:1326139387
Name:URQUHART ORTHOPEDIC ASSOCIATES, PA
Entity Type:Organization
Organization Name:URQUHART ORTHOPEDIC ASSOCIATES, PA
Other - Org Name:FORMERLY MARC W. URQUHART, MD, PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:URQUHART
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-436-8289
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ090235Medicare PIN