| The Neurology And Headache Center Of New Jersey Llc | |
|
573 Cranbury Rd Suite A5 East Brunswick NJ 08816-4144 | |
| (732) 254-5101 | |
| (732) 254-2640 |
| Full Name | The Neurology And Headache Center Of New Jersey Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 573 Cranbury Rd, East Brunswick, New Jersey |
| Authorized Official Name and Position | Mark H Lazar (PHYSICIAN OWNER) |
| Authorized Official Contact | 7322545101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Neurology And Headache Center Of New Jersey Llc 573 Cranbury Rd Suite A5 East Brunswick NJ 08816-4144 Ph: (732) 254-5101 | The Neurology And Headache Center Of New Jersey Llc 573 Cranbury Rd Suite A5 East Brunswick NJ 08816-4144 Ph: (732) 254-5101 |
| NPI Number | 1528366911 |
|---|---|
| Provider Enumeration Date | 03/09/2011 |
| Last Update Date | 03/09/2011 |
| Medicare PECOS PAC ID | 7810179595 |
|---|---|
| Medicare Enrollment ID | O20110317000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528366911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 42290 (New Jersey) | Primary |
| Provider Name | Mark Howard Lazar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679639850 PECOS PAC ID: 8729260401 Enrollment ID: I20110317000157 |
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