Organization
ADVANCED MEDICAL LASER OPTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON LUTCHMAN MD (OWNER)
(732) 361-4961
Entity
Organization
Contact information
Practice address
1398 HWY 35, SUITE 6, OCEAN, NJ 07712-3543
(732) 361-4961
Mailing address
97 CEDAR VILLAGE BLVD, OCEAN, NJ 07712-8716
(732) 361-4961
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
25MA04510100
NJ
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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