Organization · Type 2 NPI

Lakeside Neurology & Radiology of New Jersey PC

Specialist · Newark, NJ

NPI number 1356537708 Active

Practice location

1 Gateway Ctr, #2600
Newark, NJ 07102-5310

Call (847) 510-0530 Map

Fax (888) 317-4206

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X25MA07746800 (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 1356537708

Lakeside Neurology & Radiology of New Jersey PC's National Provider Identifier is 1356537708, issued on Sep 19, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Newark, NJ. The record was last updated on Nov 12, 2009.