Organization · Type 2 NPI

Lifestyles Medical

General Practice Physician · West Long Branch, NJ

NPI number 1699188359 Active

Practice location

107 Monmouth Rd, Suite 104 D
West Long Branch, NJ 07764-1021

Fax (732) 542-2620

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X44SC05539700 (NJ)
General Practice Physician Primary 208D00000X25MB07769000 (NJ)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

13 other providers at this address

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About NPI 1699188359

Lifestyles Medical's National Provider Identifier is 1699188359, issued on Jun 10, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in West Long Branch, NJ. The record was last updated on Jun 10, 2014.