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Organization

LAKEWOOD RESOURCE AND REFERRAL CENTER INC

Active
Parent organization
CENTER FOR HEALTH EDUCATION, MEDICINE AND DENTISTRY
Other names
Center for Health Education, Medicine and Dentistry
Organization subpart
Yes

Provider details

NPI number
Legal business name
CENTER FOR HEALTH EDUCATION, MEDICINE AND DENTISTRY
Authorized official
MR. DAVID FRIEDMAN (C.E.O.)
(732) 364-2144
Entity
Organization

Contact information

Practice address
1771 MADISON AVE, LAKEWOOD, NJ 08701-1251
(732) 364-2144
(732) 364-3559
Mailing address
1771 MADISON AVE, LAKEWOOD, NJ 08701-1251
(732) 364-2144
(732) 364-3559

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
24191
NJ
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
24191
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0191230
NJ
Enumeration date
03/16/2007
Last updated
04/25/2022
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