Individual
DR. WILLIAM V LAGRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 ROUTE 9, ENGLISHTOWN, NJ 07726-8270
(732) 617-8800
(732) 617-8808
Mailing address
15 FORSYTHIA DR, EDISON, NJ 08837-3086
(732) 549-3490
(732) 617-8808
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA069932
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0033855
—
NJ
01
—
1194996645
444 WILLIAM STREET
NJ
01
—
1740345693
741 BROADWAY
NJ
01
—
25MA06993200
NJ LICENSE
NJ
Enumeration date
05/10/2006
Last updated
08/07/2015
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