Individual
MARK LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2040 GARDEN RD, MAYS LANDING, NJ 08330-3925
(609) 625-0421
Mailing address
2040 GARDEN RD, MAYS LANDING, NJ 08330-3925
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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