Individual
MR. LIND S. LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
727 N BEERS ST, BAYSHORE COMMUNITY CENTER, HOLMDEL, NJ 07733-1514
(732) 739-5900
(973) 251-1109
Mailing address
651 W MOUNT PLEASANT AVE, LIVINGSTON, NJ 07039-1600
(973) 251-1177
(973) 251-1165
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA04254300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110180583
RAILROAD MEDICARE
NJ
Enumeration date
06/02/2006
Last updated
01/21/2009
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