Healthcare Provider Details

I. General information

NPI: 1144326075
Provider Name (Legal Business Name): SOMERSET WALK-IN CLINIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 01/23/2023
Certification Date: 01/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 S MAIN ST
MANVILLE NJ
08835-1864
US

IV. Provider business mailing address

64 S MAIN ST
MANVILLE NJ
08835-1864
US

V. Phone/Fax

Practice location:
  • Phone: 908-685-8000
  • Fax: 908-232-3732
Mailing address:
  • Phone: 908-685-8000
  • Fax: 908-232-3732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number25MA070959
License Number StateNJ

VIII. Authorized Official

Name: DR. SUKHDEV AMARNANI
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 908-685-8000