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Organization

THEODORE B LYGAS MD F A C S PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THEODORE B LYGAS MD (CEO)
(732) 458-4600
Entity
Organization

Contact information

Practice address
459 JACK MARTIN BLVD, SUITE 5A, BRICK, NJ 08724-7724
(732) 458-4600
(732) 458-3885
Mailing address
459 JACK MARTIN BLVD, SUITE 5A, BRICK, NJ 08724-7724
(732) 458-4600
(732) 458-3885

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary

Other

Enumeration date
04/17/2007
Last updated
06/19/2013
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