Provider Demographics
NPI:1164802120
Name:URGENT CARE OF FREEHOLD LLC
Entity Type:Organization
Organization Name:URGENT CARE OF FREEHOLD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GURVINDRA
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:JOHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-863-7100
Mailing Address - Street 1:PO BOX 73
Mailing Address - Street 2:
Mailing Address - City:WICKATUNK
Mailing Address - State:NJ
Mailing Address - Zip Code:07765-0073
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3681 ROUTE 9 N
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2674
Practice Address - Country:US
Practice Address - Phone:732-863-7100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care