Organization
MARK LICHTENBERG, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON P CERVERA (MANAGER)
(201) 926-6151
Entity
Organization
Contact information
Practice address
55 MORRIS AVE, SPRINGFIELD, NJ 07081-1426
(201) 926-6151
(509) 463-9780
Mailing address
55 MORRIS AVE, SPRINGFIELD, NJ 07081-1426
(201) 926-6151
(509) 463-9780
Taxonomy
Speciality
Code
Description
License number
State
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
—
—
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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