# LAKEWOOD IMMEDIATE CARE

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

## Provider details

- **NPI number:** 1548636301
- **Authorized official:** MRS. ANNE C FISH (CEO)
- **Authorized official phone:** (212) 734-6621

## Contact information

- **Practice address:** 1700 MADISON AVE, LAKEWOOD, NJ 08701-1253
- **Practice address phone:** (908) 315-5602
- **Mailing address:** 1700 MADISON AVE, LAKEWOOD, NJ 08701-1253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/17/2015
- **Last updated:** 09/27/2023