Individual
DR. MICHAEL GLENN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1037 ROUTE 46, NOTCHVIEW PEDIATRICS, CLIFTON, NJ 07013-2451
(973) 779-3911
Mailing address
1037 ROUTE 46 EAST, SUITE 201, CLIFTON, NJ 07013-2473
(973) 779-3911
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08399800
NJ
Other
Enumeration date
05/05/2008
Last updated
04/08/2014
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