Organization
BLUE ORCHID INTEGRATIVE MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD LANE MD (MEDICAL DIRECTOR)
(848) 217-8870
Entity
Organization
Contact information
Practice address
706 8TH AVE, ASBURY PARK, NJ 07712-5210
(848) 217-2270
(732) 774-7973
Mailing address
706 8TH AVE, ASBURY PARK, NJ 07712-5210
(848) 217-2270
(732) 774-7973
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2018
Last updated
07/22/2018
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