Angel Lazo Md, Pa

NPI 1154638211 - Internal Medicine - 207R00000X

NPI Details
NPI 1154638211
Enumeration Date 09/09/2010
Last Updated 05/28/2015
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ANGEL ANGEL
Position OWNER
Phone (201) 978-7740
Fax (201) 392-3514
Practice Location
55 MEADOWLANDS PKWY FL 3
SECAUCUS NJ, 07094-2977, US
Phone (201) 978-7740
Fax (201) 392-3514
Business Location
PO BOX 4335
WARREN NJ, 07059-0335, US
Phone (908) 963-9919
Fax (201) 392-3514
Toxanomy
Taxonomy Code 207R00000X
License State New Jersey
License Number MA70523
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According to our database, Angel Lazo Md, Pa NPI is 1154638211, taxonomy code is 207R00000X and license number is MA70523, license state is located at New Jersey. Angel Lazo Md, Pa physically located at 55 Meadowlands Pkwy Fl 3, Secaucus NJ, 07094-2977. NPI Number 1033115704 has the healthcare provider type.

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1154638211 NPI number is provided on an as is basis without warranty of any kind. 1154638211 is maintained by the National Plan & Provider Enumeration System. The contents of Angel Lazo Md, Pa are for informational purposes only.