Provider Demographics
NPI:1619320991
Name:INSPIRA SJ URGENT CARE PC
Entity Type:Organization
Organization Name:INSPIRA SJ URGENT CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:TROTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-507-2780
Mailing Address - Street 1:1120 DELSEA DR N
Mailing Address - Street 2:
Mailing Address - City:GLASSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08028-1444
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3722 E LANDIS AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08361-7926
Practice Address - Country:US
Practice Address - Phone:856-213-5871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INSPIRA SJ URGENT CARE MANAGEMENT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-07-21
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care