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600 River Ave Lakewood NJ 08701-5237 | |
| (732) 363-1900 | |
| (732) 942-4422 |
| Full Name | |
|---|---|
| Speciality | Pediatrics |
| Location | 600 River Ave, Lakewood, New Jersey |
| Authorized Official Name and Position | Galina Begun (MANAGER) |
| Authorized Official Contact | 7325577119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Lockbox 9307, Po Box 8500 Philadelphia PA 19178-9307 Ph: (732) 557-7119 | 600 River Ave Lakewood NJ 08701-5237 Ph: (732) 363-1900 |
| NPI Number | 1053360990 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 05/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053360990 | NPI | - | NPPES |
| 7997507 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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