Individual
DR. MICHAEL J MENACK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 PROSPECT ST, LAKEWOOD, NJ 08701-5150
(732) 363-0044
(732) 905-5845
Mailing address
5 PROSPECT ST, LAKEWOOD, NJ 08701-5150
(732) 363-0044
(732) 905-5845
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07915100
NJ
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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