Organization
COUNTY LINE URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMAN INDICH MD (OWNER)
(732) 730-9111
Entity
Organization
Contact information
Practice address
603 W COUNTY LINE RD, LAKEWOOD, NJ 08701-1216
(732) 730-9111
(732) 595-1330
Mailing address
603 W COUNTY LINE RD, LAKEWOOD, NJ 08701-1216
(732) 730-9111
(732) 595-1330
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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