Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MA71237 | NJ |
N | 207XS0106X | Orthopaedic Hand Surgeon | MA71237 | NJ |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MA71237 | NJ |
NPI | 1235208794 |
---|---|
Provider Name | Dr. Marc W Urquhart |
First Address | Bayonne, NJ 07002-3987 |
Second Address | Bayonne, NJ 07002-3987 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 03/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H33938 | (02) | NJ |