Active NPIOrganization

Lakeside Internal Medicine Associates,llc

Internal Medicine in Sicklerville, New Jersey

NPI Number1346486032
Practice location
1300 Liberty Pl, Sicklerville, NJ 08081-5710
Fax
—
Last updated
December 30, 2008

Lakeside Internal Medicine Associates,llc is a healthcare organization based in Sicklerville, NJ. Lakeside Internal Medicine Associates,llc practices in Sicklerville, NJ. The NPI Number for Lakeside Internal Medicine Associates,llc is 1346486032 and holds a License No. MB47569 (NJ). The current practice location address for Lakeside Internal Medicine Associates,llc is 1300 Liberty Pl, Sicklerville, NJ 08081-5710 and can be reached out via phone at 856-374-5304.

Provider Profile Details

NPI Number
1346486032
Provider Name
Lakeside Internal Medicine Associates,llc
Provider Entity Type
Organization
Address
1300 Liberty Pl, Sicklerville, NJ 08081-5710
Phone Number
856-374-5304
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Dr. David A Evans, DO · Owner · 856-374-5304
Provider Enumeration Date
December 30, 2008
Last Update Date
December 30, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
1300 Liberty Pl
Sicklerville, NJ 08081-5710
Zip
08081-5710
Phone Number
856-374-5304
Sicklerville, NJ 08081Get directions →

Provider Business Mailing Address Details

Address
1300 Liberty Pl
Sicklerville, NJ 08081-5710
City
Sicklerville
State
NJ
Zip
08081-5710
Phone Number
856-374-5304

License Information

License Number
MB47569
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lakeside Internal Medicine Associates,llc?

The NPI number of Lakeside Internal Medicine Associates,llc is 1346486032. It was assigned on December 30, 2008 and is currently active in the NPPES registry.

What is the specialty of Lakeside Internal Medicine Associates,llc?

Lakeside Internal Medicine Associates,llc is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number MB47569.

Where does Lakeside Internal Medicine Associates,llc practice?

The practice location is 1300 Liberty Pl, Sicklerville, NJ 08081-5710. The office can be reached at 856-374-5304 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346486032 directly on the NPPES registry website.

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