Provider Demographics
NPI:1013575927
Name:LOCUM NETWOTK INC
Entity Type:Organization
Organization Name:LOCUM NETWOTK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:IMTIAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:SEYAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-766-3606
Mailing Address - Street 1:4 CHRIS ANN CT
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-3761
Mailing Address - Country:US
Mailing Address - Phone:732-766-3606
Mailing Address - Fax:
Practice Address - Street 1:4 CHRIS ANN CT
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-3761
Practice Address - Country:US
Practice Address - Phone:732-766-3606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty