Lakeside Internal Medicine Associates,llc | |
1300 Liberty Pl Sicklerville NJ 08081-5710 | |
(856) 374-5304 | |
Not Available |
Full Name | Lakeside Internal Medicine Associates,llc |
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Speciality | Internal Medicine |
Location | 1300 Liberty Pl, Sicklerville, New Jersey |
Authorized Official Name and Position | David A Evans (OWNER) |
Authorized Official Contact | 8563745304 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakeside Internal Medicine Associates,llc 1300 Liberty Pl Sicklerville NJ 08081-5710 Ph: (856) 374-5304 | Lakeside Internal Medicine Associates,llc 1300 Liberty Pl Sicklerville NJ 08081-5710 Ph: (856) 374-5304 |
NPI Number | 1346486032 |
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Provider Enumeration Date | 12/30/2008 |
Last Update Date | 12/30/2008 |
Identifier | Type | State | Issuer |
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1346486032 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | MB47569 (New Jersey) | Primary |
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