| Lakeside Internal Medicine Associates,llc | |
|
1300 Liberty Pl Sicklerville NJ 08081-5710 | |
| (856) 374-5304 | |
| Not Available |
| Full Name | Lakeside Internal Medicine Associates,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1300 Liberty Pl, Sicklerville, New Jersey |
| Authorized Official Name and Position | David A Evans (OWNER) |
| Authorized Official Contact | 8563745304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Internal Medicine Associates,llc 1300 Liberty Pl Sicklerville NJ 08081-5710 Ph: (856) 374-5304 | Lakeside Internal Medicine Associates,llc 1300 Liberty Pl Sicklerville NJ 08081-5710 Ph: (856) 374-5304 |
| NPI Number | 1346486032 |
|---|---|
| Provider Enumeration Date | 12/30/2008 |
| Last Update Date | 12/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346486032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MB47569 (New Jersey) | Primary |
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