Provider Demographics
NPI:1578910428
Name:HUNTERDON URGENT CARE PC
Entity Type:Organization
Organization Name:HUNTERDON URGENT CARE PC
Other - Org Name:HUNTERDON URGENT CARE AT FLEMINGTON
Other - Org Type:Other Name
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:908-237-6077
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:
Mailing Address - Fax:
Practice Address - Street 1:63 CHURCH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1627
Practice Address - Country:US
Practice Address - Phone:908-237-4036
Practice Address - Fax:908-788-6055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-20
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1154791796OtherNPI