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Organization
LISIK-ROBERTI CLINICAL MEDICINE LLC
Active
Organization
LISIK-ROBERTI CLINICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTAL LISIK MD (OWNER/PROVIDER)
(908) 868-6669
Entity
Organization
Contact information
Practice address
67 WALNUT AVE STE 402, CLARK, NJ 07066-1687
(732) 499-9110
(855) 822-3223
Mailing address
67 WALNUT AVE STE 402, CLARK, NJ 07066-1687
(732) 499-9110
(855) 822-3223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
04/26/2021
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