Individual
DR. NORMAN INDICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
603 W COUNTY LINE RD, LAKEWOOD, NJ 08701-1216
(732) 730-9111
(732) 730-9154
Mailing address
603 W COUNTY LINE RD, LAKEWOOD, NJ 08701-1216
(732) 730-9111
(732) 730-9154
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA060984
NJ
Other
Enumeration date
05/31/2006
Last updated
11/10/2011
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