Individual provider · Type 1 NPI
Michael J. Menack, MD
Specialist · Lakewood, NJ
NPI number
1063455988
Active
Practice location
5 Prospect St
Lakewood, NJ 08701-5150
Fax (732) 905-5845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 25MA07915100 (NJ) |
Specialist: 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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About NPI 1063455988
Michael J. Menack, MD's National Provider Identifier is 1063455988, issued on Jun 14, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lakewood, NJ. The record was last updated on Jul 13, 2026.