Organization
ENGLEWOOD MEDICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD JAY LASNER (DIRECTOR OF PHYSICIAN NETWORK REVEN)
(201) 608-2136
Entity
Organization
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3689
(201) 541-2965
Mailing address
375 ENGLE ST, ENGLEWOOD, NJ 07631-1823
(201) 608-2136
(201) 894-5209
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
12/12/2017
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