Organization
IMA URGENT CARE
Active
Parent organization
INTEGRATED MEDICINE ALLIANCE
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATED MEDICINE ALLIANCE
Authorized official
DR. ROGER M THOMPSON MD (TREASURER)
(732) 460-9840
Entity
Organization
Contact information
Practice address
1026 BROAD ST UNIT 18, SHREWSBURY, NJ 07702-4380
(732) 460-9840
(732) 460-9848
Mailing address
PO BOX 8519, RED BANK, NJ 07701-8519
(732) 460-9840
(732) 460-9848
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
261QU0200X
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3259501
—
NJ
01
—
CA1204
MEDICARE RAILROAD
NJ
01
—
J020393
CHAMPUS
NJ
Enumeration date
07/10/2015
Last updated
12/21/2023
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