Organization
LAWRENCE GRILL MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY A DENNIS (OFFICE MANAGER)
(732) 367-8272
Entity
Organization
Contact information
Practice address
1166 RIVER AVE, LAKEWOOD, NJ 08701-5600
(732) 367-8272
Mailing address
1166 RIVER AVE, LAKEWOOD, NJ 08701-5600
(732) 367-8272
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/29/2006
Last updated
06/12/2012
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