| Lakewood Children's Clinic Llc | |
|
8 Laketree Ct Manchester NJ 08759-5679 | |
| (917) 957-2273 | |
| Not Available |
| Full Name | Lakewood Children's Clinic Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 8 Laketree Ct, Manchester, New Jersey |
| Authorized Official Name and Position | Michael Tyberg (OWNER) |
| Authorized Official Contact | 9179572273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Children's Clinic Llc 8 Laketree Ct Manchester NJ 08759-5679 Ph: (917) 957-2273 | Lakewood Children's Clinic Llc 8 Laketree Ct Manchester NJ 08759-5679 Ph: (917) 957-2273 |
| NPI Number | 1952175614 |
|---|---|
| Provider Enumeration Date | 11/13/2023 |
| Last Update Date | 11/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952175614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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Apollo Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2142 Route 70, Manchester, NJ 08759 Phone: 732-408-9585 Fax: 732-408-9586 | |
Platinum Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2485 Holly Hill Rd, Manchester, NJ 08759 Phone: 732-451-3398 |