Provider Demographics
NPI:1215948989
Name:UDAY KUNTE MD FACS
Entity type:Organization
Organization Name:UDAY KUNTE MD FACS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:UDAY
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-528-8864
Mailing Address - Street 1:1445 WHITEHORSE MERCERVILLE RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619
Mailing Address - Country:US
Mailing Address - Phone:609-528-8864
Mailing Address - Fax:609-528-8865
Practice Address - Street 1:1445 WHITEHORSE MERCERVILLE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619
Practice Address - Country:US
Practice Address - Phone:609-528-8864
Practice Address - Fax:609-528-8865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0021833000OtherKEYSTONE
34162OtherUS HEALTHCARE
1018901OtherHORIZON NJ HEALTH
BU5237OtherOXFORD
2708734003OtherCIGNA
NJ4057201Medicaid
NJ4057201Medicaid
BU5237OtherOXFORD
PA076498Medicare PIN