Individual
MELODEE SUE LASKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11 BISHOP PL, HURTADO HEALTH CENTER, NEW BRUNSWICK, NJ 08901-1178
(732) 932-7402
(732) 932-1525
Mailing address
11 BISHOP PL, HURTADO HEALTH CENTER, NEW BRUNSWICK, NJ 08901-1178
(732) 932-7402
(732) 932-1525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA47991
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2322102
—
NJ
Enumeration date
08/10/2006
Last updated
07/08/2007
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