Lautenberg, Mitchel A

Lautenberg, Mitchel A is an individual health care provider with primary practice located at 601 Route 37 West , Toms River NJ 08755-8050. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Lautenberg, Mitchel A can be contacted via phone (732) 244-4400.

Contact Information

Primary practice address
601 Route 37 West Toms River NJ 08755-8050
Phone: (732) 244-4400
Fax: (732) 505-2171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25MAO6965100 New Jersey
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X 25MA06965100 New Jersey

Profile Details

NPI number 1508833484
LBN Legal business name Lautenberg, Mitchel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Apr 24th, 2017 - about 7 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 1508833484 NPPES
New Jersey MEDICAID 8283508
New Jersey Other 180039086

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