Individual
WALTER EMMETT LEWIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
780 RTE 37 W, SUITE 100, TOMS RIVER, NJ 08755-5059
(732) 349-5200
(732) 349-5235
Mailing address
780 RTE 37 W, SUITE 100, TOMS RIVER, NJ 08755-5059
(732) 349-5200
(732) 349-5235
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
26NR09473400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5447607
—
NJ
Enumeration date
10/27/2006
Last updated
09/19/2012
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