Organization Name: | REGIONAL URGENT CARE OF MAYS LANDING |
NPI Number: | 1316224496 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD J SOUCIER (MEDICAL DIRECTOR) |
Mailing Address: | 5401 Harding Hwy Suite #5 Mays Landing |
State: | NJ US |
Postal Code: | 083302243 |
Phone Number: | 6099090200 |
Fax Number: | 6099090267 |
NPI Enumeration Date: | 11/03/2011 |
NPI Last Update Date: | 11/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | MB44301 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |