institution
Lakeside Neurology & Radiology Of New Jersey Pc
Specialist in Newark, New Jersey
NPI 1356537708

Lakeside Neurology & Radiology Of New Jersey Pc is a Specialist based in Newark, NJ. Lakeside Neurology & Radiology Of New Jersey Pc practices in Newark, NJ. The NPI Number for Lakeside Neurology & Radiology Of New Jersey Pc is 1356537708 and holds a License No. 25MA07746800 (New Jersey).

The current practice location address for Lakeside Neurology & Radiology Of New Jersey Pc is 1 Gateway Ctr, Newark, NJ and can be reached out via phone at 847-510-0530 and via fax at 888-317-4206.

Location: 1 Gateway Ctr, Newark, NJ, 07102-5310
institution
Provider Profile Details
NPI Number
1356537708
Provider Name
Lakeside Neurology & Radiology Of New Jersey Pc
Credential
Provider Entity Type
Organization
Address
1 Gateway Ctr, Newark, NJ, 07102-5310
Phone Number
847-510-0530
Fax Number
888-317-4206
Provider Enumeration Date
09/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Gateway Ctr
City
State
Zip
07102-5310
Phone Number
847-510-0530
Fax Number
888-317-4206
person
Provider Business Mailing Address Details
Address
1 Gateway Ctr
City
State
Zip
07102-5310
Phone Number
847-510-0530
Fax Number
888-317-4206
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
25MA07746800 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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