Davis, Lawrence J

Davis, Lawrence J is an individual health care provider with primary practice located at 177 N Dean St Sutie 207, Englewood NJ 07631-2533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Davis, Lawrence J can be contacted via phone (201) 567-0446.

Contact Information

Primary practice address
177 N Dean St Sutie 207 Englewood NJ 07631-2533
Phone: (201) 567-0446
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA06641900 New Jersey

Profile Details

NPI number 1881675098
LBN Legal business name Davis, Lawrence J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Nov 18th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881675098 NPPES
New Jersey MEDICAID 7449704
New Jersey Other 4122282
New Jersey Other 0K8870
New Jersey Other P801198

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