Organization
DR LUCAS RALSTON MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCAS RALSTON MD MD (PAIN MANAGEMENT/ORTHOPEDIC SURGEON)
(732) 277-8672
Entity
Organization
Contact information
Practice address
201 CEDAR GROVE RD, TOMS RIVER, NJ 08753-4332
(732) 277-8672
Mailing address
201 CEDAR GROVE RD, TOMS RIVER, NJ 08753-4332
(732) 277-8672
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
243938
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2084P0800X
—
NJ
Enumeration date
11/12/2013
Last updated
11/12/2013
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