Provider Demographics
NPI:1467512350
Name:ROWE URQUHART, ERICA (MD, PHD)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:ROWE URQUHART
Suffix:
Gender:F
Credentials:MD, PHD
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:2006-12-11
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07908400207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ095632T5TMedicare ID - Type Unspecified
I45276Medicare UPIN