Individual
EDGARDO N. LACHENAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 MADISON AVE, MOUNT HOLLY, NJ 08060-2038
(609) 261-1660
(609) 261-4454
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA04130500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1668005
—
NJ
Enumeration date
07/29/2006
Last updated
02/02/2015
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