Organization
DEAL LAKE MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL ROMANO LEPIS MD (CEO)
(732) 774-0200
Entity
Organization
Contact information
Practice address
607 8TH AVE, ASBURY PARK, NJ 07712-5292
(732) 774-0200
Mailing address
607 8TH AVE, ASBURY PARK, NJ 07712-5292
(732) 774-0200
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MA27769
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4839501
—
NJ
Enumeration date
12/14/2006
Last updated
08/22/2020
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