Individual
DR. MARK H LAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
573 CRANBURY RD, A5, EAST BRUNSWICK, NJ 08816-4026
(732) 254-5101
(732) 254-2640
Mailing address
573 CRANBURY RD, A5, EAST BRUNSWICK, NJ 08816-4026
(732) 254-5101
(732) 254-2640
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
42290
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4245241
AETNA PIN
NJ
01
—
50389
EMPIRE BC BS
NJ
Enumeration date
12/29/2006
Last updated
12/02/2010
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