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Individual

DR. MICHAEL VIRAY LACAP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
20 THOREAU DR, POETS SQUARE, FREEHOLD, NJ 07728-4329
(732) 303-1425
Mailing address
20 THOREAU DR, POETS SQUARE, FREEHOLD, NJ 07728-4329
(732) 303-1425

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07847300
NJ
208VP0014X
Interventional Pain Medicine Physician
25MA07847300
NJ

Other

Enumeration date
12/29/2006
Last updated
04/20/2011
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