Provider Demographics
NPI:1831664556
Name:HUNTERDON SPECIALTY CARE PC
Entity Type:Organization
Organization Name:HUNTERDON SPECIALTY CARE PC
Other - Org Name:HUNTERDON PODIATRIC MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP MEDICAL PRACTICES
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SKILLINGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-788-6160
Mailing Address - Street 1:2100 WESCOTT DR
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-4603
Mailing Address - Country:US
Mailing Address - Phone:908-788-5595
Mailing Address - Fax:
Practice Address - Street 1:1121 ROUTE 22 STE 206
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-2983
Practice Address - Country:US
Practice Address - Phone:908-788-6449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-09
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment