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Individual

BRANDON LEO LAZAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
700 MULLICA HILL RD, MULLICA HILL, NJ 08062-4413
(856) 508-8000
Mailing address
700 MULLICA HILL RD, MULLICA HILL, NJ 08062-4413
(856) 508-8000

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
208100000X
NJ

Other

Enumeration date
04/20/2023
Last updated
04/20/2023
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