Healthcare Provider Details
I. General information
NPI: 1376089979
Provider Name (Legal Business Name): INFOCUS URGENT CARE CAMPUS TOWN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/06/2017
Last Update Date: 06/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 CAMPUS TOWN CIR SUITE 100
EWING NJ
08638-1911
US
IV. Provider business mailing address
100 CAMPUS TOWN CIR SUITE 100
EWING NJ
08638-1911
US
V. Phone/Fax
- Phone: 856-625-6343
- Fax:
- Phone: 856-625-6343
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SEETA
ARJUN
Title or Position: MEDICAL DIRECTOR/CEO
Credential: D.O.
Phone: 856-625-6343