Organization
GARDEN STATE NEURO DIAGNOSTIC LABS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE LUBOLD (PA)
(215) 736-8930
Entity
Organization
Contact information
Practice address
201 WOOLSTON DR, MORRISVILLE, PA 19067-5008
(215) 736-8930
(215) 736-3093
Mailing address
201 WOOLSTON DR, MORRISVILLE, PA 19067-5008
(215) 736-8930
(215) 736-3093
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
12/22/2008
Last updated
12/22/2008
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