=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124196746
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MET CLINICS PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/01/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 441 US HIGHWAY 130
-----------------------------------------------------
City | EAST WINDSOR
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08520-2710
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-443-5555
-----------------------------------------------------
Fax | 609-443-4609
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 441 US HIGHWAY 130
-----------------------------------------------------
City | EAST WINDSOR
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08520-2710
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-443-5555
-----------------------------------------------------
Fax | 609-443-4609
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | DR. LANCE M STERMAN
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 609-443-5555
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QU0200X
-----------------------------------------------------
Taxonomy Name | Urgent Care Clinic/Center
-----------------------------------------------------
License Number | 25MA03585200
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------