| Kenneth J Lichtman Md Llc | |
|
1109 Amboy Ave Edison NJ 08837-2877 | |
| (732) 549-2220 | |
| Not Available |
| Full Name | Kenneth J Lichtman Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1109 Amboy Ave, Edison, New Jersey |
| Authorized Official Name and Position | Gina Allaire (SEC) |
| Authorized Official Contact | 7325492220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth J Lichtman Md Llc 1109 Amboy Ave Edison NJ 08837-2877 Ph: () - | Kenneth J Lichtman Md Llc 1109 Amboy Ave Edison NJ 08837-2877 Ph: (732) 549-2220 |
| NPI Number | 1770092405 |
|---|---|
| Provider Enumeration Date | 09/26/2017 |
| Last Update Date | 09/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770092405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA03137800 (New Jersey) | Primary |
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