Lakeside Neurology & Radiology of New Jersey PC
Lakeside Neurology & Radiology of New Jersey PC is a Specialist in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.
- Licensed in
- NJ
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1 Gateway Ctr #2600Newark, NJ 07102-5310
Phone: (847) 510-0530
Fax: (888) 317-4206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 25MA07746800 (NJ) |
|---|
Record details
| NPI number | 1356537708 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tom Winger — Director · (847) 510-0530 |
| Other names | Lakeside Neurology Of New Jersey |
| NPI enumerated | September 19, 2007 |
| Last updated in NPPES | November 12, 2009 |
| Mailing address | 1 Gateway Ctr, 2600, Newark, NJ 07102-5310 |
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