# LAKEWOOD HATZOLAH, LLC

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

## Provider details

- **NPI number:** 1598000648
- **Authorized official:** SIMON JOSEPH ZELDES (OFFICER)
- **Authorized official phone:** (732) 363-5600

## Contact information

- **Practice address:** 501 COUNTY LINE ROAD, LAKEWOOD, NJ 08701
- **Practice address phone:** (732) 363-5600
- **Practice address fax:** (732) 363-5658
- **Mailing address:** PO BOX 256, LAKEWOOD, NJ 08701
- **Mailing address phone:** (732) 363-5600
- **Mailing address fax:** (732) 363-5658

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1512014 | NJ | — |
| 341600000X | Ambulance | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2012
- **Last updated:** 06/17/2013