| Lakewood Resource And Referral Center, Inc. | |
|
108 Hillside Blvd Lakewood NJ 08701-3148 | |
| (732) 364-6666 | |
| Not Available |
| Full Name | Lakewood Resource And Referral Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 108 Hillside Blvd, Lakewood, New Jersey |
| Authorized Official Name and Position | David Friedman (CEO) |
| Authorized Official Contact | 7323642144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Resource And Referral Center, Inc. 1771 Madison Ave Lakewood NJ 08701-1251 Ph: (732) 364-6666 | Lakewood Resource And Referral Center, Inc. 108 Hillside Blvd Lakewood NJ 08701-3148 Ph: (732) 364-6666 |
| NPI Number | 1558816520 |
|---|---|
| Provider Enumeration Date | 08/19/2016 |
| Last Update Date | 02/09/2017 |
| Medicare PECOS PAC ID | 6901981497 |
|---|---|
| Medicare Enrollment ID | O20170330001546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558816520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (New Jersey) | Primary |
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