Organization
LASEMEDICA MEDSPA AND VEIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REX GHASSEMI MD (MD, OWNER)
(732) 384-5365
Entity
Organization
Contact information
Practice address
600 WARREN AVE, SPRING LAKE, NJ 07762-2039
(732) 384-5365
Mailing address
600 WARREN AVE, SPRING LAKE, NJ 07762-2039
(732) 384-5365
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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