Individual
DR. BRENT MCKEEN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 915-2200
Mailing address
21 DUNCAN RD, HO HO KUS, NJ 07423-1015
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA10541400
NJ
207P00000X
Emergency Medicine Physician
300578-01
NY
Other
Enumeration date
04/16/2016
Last updated
07/18/2023
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