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Individual

MARY HOPE LENSKOLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
194 ROUTE 35, RED BANK, NJ 07701-5935
(732) 483-1800
(732) 483-1622
Mailing address
194 ROUTE 35, RED BANK, NJ 07701-5935
(732) 483-1800
(732) 483-1622

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00222600
NJ

Other

Enumeration date
09/10/2009
Last updated
05/06/2016
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