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Individual

DR. MAYANK LAHOTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
693 MAIN ST BUILDING A STE 2, LUMBERTON, NJ 08048-5043
(609) 265-1700
(609) 265-8146
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(609) 265-1700
(609) 265-8146

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MB10063900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
OT013540
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0577791
NJ
Enumeration date
05/06/2010
Last updated
12/17/2024
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