Provider Demographics
NPI:1063457778
Name:MCQUILKIN, GEORGE E (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:E
Last Name:MCQUILKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 WILLOW AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-3808
Mailing Address - Country:US
Mailing Address - Phone:201-795-0501
Mailing Address - Fax:201-963-8231
Practice Address - Street 1:308 WILLOW AVE FL 1
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-3808
Practice Address - Country:US
Practice Address - Phone:201-798-4044
Practice Address - Fax:201-798-3358
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA43630174400000X
NJ25MA04363000207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC54717Medicare UPIN
NJ444918Medicare ID - Type Unspecified