Individual
BETH G LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
254 EASTON AVE, MATERNAL FETAL MEDICINE, NEW BRUNSWICK, NJ 08901-1766
(732) 745-8549
Mailing address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 754-8549
(732) 249-5729
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA79227
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088480
—
NJ
Enumeration date
05/12/2006
Last updated
03/14/2012
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