# ASTRA HEALTH CENTER OF LYONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346675725
- **Authorized official:** MR. ANTHONY RUSSO (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (908) 760-8888

## Contact information

- **Practice address:** 18 LYONS MALL, BASKING RIDGE, NJ 07920-1928
- **Practice address phone:** (908) 760-8888
- **Mailing address:** 18 LYONS MALL, BASKING RIDGE, NJ 07920-1928
- **Mailing address phone:** (908) 760-8888
- **Mailing address fax:** (908) 340-4082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2083X0100X | Occupational Medicine Physician | — | NULL | — |
| 2083X0100X | Occupational Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/04/2013
- **Last updated:** 05/06/2015