Individual
MASON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
46 OLD MILL RD, TINTON FALLS, NJ 07724-3235
(732) 759-4240
Mailing address
46 OLD MILL RD, TINTON FALLS, NJ 07724-3235
(732) 759-4240
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
631184
NJ
Other
Enumeration date
06/06/2020
Last updated
06/06/2020
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