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Dr. Michael Drew Lasalle, MD
Specialist in Livingston, New Jersey
NPI 1770676397

Michael Drew Lasalle is a Specialist based in Livingston, NJ. Michael Drew Lasalle practices in Livingston, NJ and has the professional credentials of MD. The NPI Number for Michael Drew Lasalle is 1770676397 and holds a License No. 25MA05925200 (New Jersey).

The current practice location address for Michael Drew Lasalle is 200 S Orange Ave, Livingston, NJ and can be reached out via phone at 973-322-0133 and via fax at 973-322-0134. You can also correspond with Michael Drew Lasalle through the mailing address at 200 S ORANGE AVE, LIVINGSTON, NJ - 07039-5817 (mailing address contact number: 973-322-0133).

Location: 200 S Orange Ave, Livingston, NJ, 07039-5817
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770676397
Provider Name
Michael Drew Lasalle
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 S Orange Ave, Livingston, NJ, 07039-5817
Phone Number
973-322-0133
Fax Number
973-322-0134
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P1076991 01 NJ OXFORD
223600796 01 NJ AETNA,HORIZON
institution
Provider Business Practice Location Address Details
Address
200 S Orange Ave
City
Livingston
State
New Jersey
Zip
07039-5817
Phone Number
973-322-0133
Fax Number
973-322-0134
person
Provider Business Mailing Address Details
Address
200 S Orange Ave
City
Livingston
State
New Jersey
Zip
07039-5817
Phone Number
973-322-0133
Fax Number
973-322-0134
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MA05925200 (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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