MEDICARE: PROMPT MED URGENT CARE PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1578809026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROMPT MED URGENT CARE PC

Provider Business Mailing Address
First Line	:	185 BRIDGE PLZ N
Second Line	:	SUITE 10
City	:	FORT LEE
State	:	NJ
Zip	:	07024-5907
Country	:	US
Telephone Number	:	201-947-8282
Fax Number	:

Provider Business Practice Location Address
First Line	:	185 BRIDGE PLZ N
Second Line	:	SUITE 10
City	:	FORT LEE
State	:	NJ
Zip	:	07024-5907
Country	:	US
Telephone Number	:	201-947-8282
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. DEAN FONG
Credential	:
Telephone Number	:	201-947-8282

Provider Enumeration Date	:	01/02/2013
Last Update Date	:	08/26/2013

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Directions to “PROMPT MED URGENT CARE PC ” Practice Location

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