Organization
LIGHTER FOR LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH KAMELGARD (PRESIDENT)
(201) 523-6185
Entity
Organization
Contact information
Practice address
140 N RTE 17, SUITE 102, PARAMUS, NJ 07652-2809
(201) 523-6185
Mailing address
140 N RTE 17, SUITE 102, PARAMUS, NJ 07652-2809
(201) 523-6185
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA06782900
NJ
Other
Enumeration date
04/25/2006
Last updated
08/22/2020
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