Organization
LAKE PHYSICIANS AND HOSPITAL SUPPLY
Active
Other names
Lake Surgical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN MICHAEL TREZZA (OWNER/PRESIDENT)
(973) 627-8100
Entity
Organization
Contact information
Practice address
92 BROADWAY, DENVILLE, NJ 07834-2761
(973) 627-8100
(973) 627-4114
Mailing address
92 BROADWAY, DENVILLE, NJ 07834-2761
(973) 627-8100
(973) 627-4114
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0063901
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2580501
—
NJ
Enumeration date
07/19/2005
Last updated
04/25/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us