Provider Demographics
NPI:1578809026
Name:PROMPT MED URGENT CARE PC
Entity Type:Organization
Organization Name:PROMPT MED URGENT CARE PC
Other - Org Name:PROMPT MED URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-947-8282
Mailing Address - Street 1:185 BRIDGE PLZ N
Mailing Address - Street 2:SUITE 10
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-5907
Mailing Address - Country:US
Mailing Address - Phone:201-947-8282
Mailing Address - Fax:
Practice Address - Street 1:185 BRIDGE PLZ N
Practice Address - Street 2:SUITE 10
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-5907
Practice Address - Country:US
Practice Address - Phone:201-947-8282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-02
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care