Ford, Lisa Melanie

Ford, Lisa Melanie is an individual health care provider with primary practice located at 30 Bergen St Admc 12 1205, Newark NJ 07107-3000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Ford, Lisa Melanie can be contacted via phone (973) 972-9000.

Contact Information

Primary practice address
30 Bergen St Admc 12 1205 Newark NJ 07107-3000
Phone: (973) 972-9000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 25MA05696300 New Jersey

Profile Details

NPI number 1659445013
LBN Legal business name Ford, Lisa Melanie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Feb 3rd, 2022 - about 2 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 1659445013 NPPES
New Jersey MEDICAID 7328401

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