Healthcare Provider Details

I. General information

NPI: 1801342902
Provider Name (Legal Business Name): HUNTERDON PRIMARY CARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2016
Last Update Date: 08/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 ROUTE 28 SUITE 105B
BRIDGEWATER NJ
08807-1979
US

IV. Provider business mailing address

3 MINNEAKONING RD
FLEMINGTON NJ
08822-5726
US

V. Phone/Fax

Practice location:
  • Phone: 908-237-4135
  • Fax: 908-237-4136
Mailing address:
  • Phone: 908-284-1125
  • Fax: 908-284-2016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID SKILLINGE
Title or Position: PRESIDENT, MEDICAL PRACTICES
Credential: D.O,
Phone: 908-788-6160