Organization
MEDEXPRESS URGENT CARE - NEW JERSEY, INC
Active
Other names
MedExpress Urgent Care - Green Brook
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY G. BUGIN (VP OF PAYOR CONTRACTING)
(304) 225-2500
Entity
Organization
Contact information
Practice address
119 US HIGHWAY 22, SUITE 131, GREEN BROOK, NJ 08812-2147
(732) 752-1301
(732) 752-1302
Mailing address
1001 CONSOL ENERGY DR, CANONSBURG, PA 15317-6506
(304) 225-2500
(724) 743-1133
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0347116
—
NJ
Enumeration date
08/20/2013
Last updated
09/08/2016
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