Organization
LAKEWOOD UROLOGY LIMITED LIABILITY COMPANY
Active
Other names
University Urology Associates of New Jersey
Organization subpart
No
Provider details
NPI number
Authorized official
MUKARAM GAZI M.D. (OWNER)
(609) 581-5900
Entity
Organization
Contact information
Practice address
1374 WHITEHORSE HAMILTON SQUARE RD, SUITE 101, HAMILTON, NJ 08690-3701
(609) 581-5900
(609) 581-5901
Mailing address
1374 WHITEHORSE HAMILTON SQUARE RD, SUITE 101, HAMILTON, NJ 08690-3701
(609) 581-5900
(609) 581-5901
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019429
—
NJ
01
—
2636882000
AMERIHEALTH
NJ
01
—
2958547
AETNA
NJ
01
—
2K5726
HEALTHNET
NJ
01
—
91001110700
AMERICHOICE
NJ
01
—
P2564828
OXFORD
NJ
Enumeration date
04/23/2007
Last updated
06/23/2014
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