# LAKEWOOD UROLOGY LIMITED LIABILITY COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** University Urology Associates of New Jersey
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295513273
- **Authorized official:** MR. MOAZAM GAZI (CEO)
- **Authorized official phone:** (609) 838-9941

## Contact information

- **Practice address:** 780 ROUTE 37 W STE 235, TOMS RIVER, NJ 08755-5065
- **Practice address phone:** (732) 286-6644
- **Practice address fax:** (732) 286-9321
- **Mailing address:** 1374 WHITEHORSE HAMILTON SQUARE RD STE 101, HAMILTON, NJ 08690-3701
- **Mailing address phone:** (609) 581-5900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2023
- **Last updated:** 09/20/2023