Individual
DR. MARY CATHERINE LARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
18 LYONS RD, SUITE 101, BASKING RIDGE, NJ 07920-0792
(908) 373-2688
Mailing address
18 LYONS RD, SUITE 101, BASKING RIDGE, NJ 07920
(908) 373-2688
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB11132500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2018
Last updated
11/22/2022
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