Organization
VERNON & BUSTAMANTE ASSOC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA VERNON MD (PRESIDENT)
(732) 255-2252
Entity
Organization
Contact information
Practice address
85 NAUTILUS DR STE A&B, MANAHAWKIN, NJ 08050-2448
(732) 255-2252
(848) 444-9801
Mailing address
85 NAUTILUS DR STE A&B, MANAHAWKIN, NJ 08050-2448
(732) 255-2252
(848) 444-9801
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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