| Norman Indich Md, Llc | |
|
603 W County Line Rd Lakewood NJ 08701-1216 | |
| (732) 730-9111 | |
| Not Available |
| Full Name | Norman Indich Md, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 603 W County Line Rd, Lakewood, New Jersey |
| Authorized Official Name and Position | Norman Indich (OWNER) |
| Authorized Official Contact | 7327309111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Norman Indich Md, Llc 603 W County Line Rd Lakewood NJ 08701-1216 Ph: (732) 730-9111 | Norman Indich Md, Llc 603 W County Line Rd Lakewood NJ 08701-1216 Ph: (732) 730-9111 |
| NPI Number | 1962655472 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 07/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962655472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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