| Lisa Bryhn MD LLC | |
|
1056 Stelton Rd Piscataway NJ 08854-4326 | |
| (732) 463-0303 | |
| (732) 463-2289 |
| Full Name | Lisa Bryhn MD LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1056 Stelton Rd, Piscataway, New Jersey |
| Authorized Official Name and Position | Lisa Bryhn (OWNER) |
| Authorized Official Contact | 9086258867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Bryhn MD LLC 28 Cherryville Hollow Rd Flemington NJ 08822-5526 Ph: (908) 625-8867 | Lisa Bryhn MD LLC 1056 Stelton Rd Piscataway NJ 08854-4326 Ph: (732) 463-0303 |
| NPI Number | 1265296016 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Medicare PECOS PAC ID | 7315381274 |
|---|---|
| Medicare Enrollment ID | O20240219002574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265296016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Lisa K E Bryhn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689648651 PECOS PAC ID: 2860517562 Enrollment ID: I20100918000032 |
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