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Lsa Surgery & Consultation Pc
Medical Specialty Clinic/Center in Ridgewood, New Jersey
NPI 1134463409

Lsa Surgery & Consultation Pc is a Medical Specialty Clinic/Center based in Ridgewood, NJ and is specialized in Medical Specialty. Lsa Surgery & Consultation Pc practices in Ridgewood, NJ. The NPI Number for Lsa Surgery & Consultation Pc is 1134463409 and holds a License No. 25MA02025300 (New Jersey).

The current practice location address for Lsa Surgery & Consultation Pc is 145 Prospect St, Ridgewood, NJ and can be reached out via phone at 201-444-4412.

Location: 145 Prospect St, Ridgewood, NJ, 07450-4493
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134463409
Provider Name
Lsa Surgery & Consultation Pc
Credential
Provider Entity Type
Organization
Address
145 Prospect St, Ridgewood, NJ, 07450-4493
Phone Number
201-444-4412
Fax Number
Provider Enumeration Date
11/26/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
023599 01 NJ MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
145 Prospect St
City
Ridgewood
State
New Jersey
Zip
07450-4493
Phone Number
201-444-4412
Fax Number
person
Provider Business Mailing Address Details
Address
145 Prospect St
City
Ridgewood
State
New Jersey
Zip
07450-4493
Phone Number
201-444-4412
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
25MA02025300 (New Jersey)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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