Organization
LAWRENCE O. EGBUCHULAM, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE EGBUCHULAM M.D. (DIRECTOR)
(973) 674-6318
Entity
Organization
Contact information
Practice address
84 SANFORD ST, EAST ORANGE, NJ 07018-1927
(973) 674-6318
(973) 674-8953
Mailing address
84 SANFORD ST, EAST ORANGE, NJ 07018-1927
(973) 674-6318
(973) 674-8953
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46686
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2496500
—
NJ
Enumeration date
10/07/2008
Last updated
10/07/2008
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