Provider Demographics
NPI:1447778758
Name:HUNTERDON PRIMARY CARE PC
Entity Type:Organization
Organization Name:HUNTERDON PRIMARY CARE PC
Other - Org Name:HUNTERDON FAMILY MEDICINE AT HICKORY RUN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT MEDICAL PRACTICES
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SKILLINGE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:908-788-6160
Mailing Address - Street 1:3 MINNEAKONING RD
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-5726
Mailing Address - Country:US
Mailing Address - Phone:908-237-5595
Mailing Address - Fax:
Practice Address - Street 1:384 COUNTY ROAD 513
Practice Address - Street 2:
Practice Address - City:CALIFON
Practice Address - State:NJ
Practice Address - Zip Code:07830-4158
Practice Address - Country:US
Practice Address - Phone:908-832-2125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-07
Last Update Date:2017-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty