Organization
MEDASSIST NJ II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEHDUA SCHNEIDER (MANAGER)
(917) 882-4536
Entity
Organization
Contact information
Practice address
419 E COUNTY LINE RD, LAKEWOOD, NJ 08701-1426
(917) 882-4536
Mailing address
419 E COUNTY LINE RD, LAKEWOOD, NJ 08701-1426
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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