Healthcare Provider Details

I. General information

NPI: 1669947388
Provider Name (Legal Business Name): HUNTERDON SPECIALTY CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2018
Last Update Date: 10/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 CLUB HOUSE DR STE 204
WASHINGTON NJ
07882-2212
US

IV. Provider business mailing address

2100 WESCOTT DR
FLEMINGTON NJ
08822-4604
US

V. Phone/Fax

Practice location:
  • Phone: 908-788-6449
  • Fax:
Mailing address:
  • Phone: 908-237-5595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DAVID SKILLINGE
Title or Position: VP MEDICAL PRACTICES
Credential: MD
Phone: 908-788-6160