MEDICARE: URGENT HEALTH CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	25MA07690500	NJ
2	2080P0208X	Pediatric Infectious Diseases Physician	25MA05498100	NJ

General Provider Information

NPI Number	:	1982876223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URGENT HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	719 ROUTE 22 W
Second Line	:
City	:	NORTH PLAINFIELD
State	:	NJ
Zip	:	07060-4924
Country	:	US
Telephone Number	:	908-561-4300
Fax Number	:	908-561-4340

Provider Business Practice Location Address
First Line	:	719 ROUTE 22 W
Second Line	:
City	:	NORTH PLAINFIELD
State	:	NJ
Zip	:	07060-4924
Country	:	US
Telephone Number	:	908-561-4300
Fax Number	:	908-561-4340

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	DR. SURINDER SODHI
Credential	:	MD
Telephone Number	:	908-561-4300

Provider Enumeration Date	:	03/27/2008
Last Update Date	:	03/27/2008

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