Individual
GARY P LENGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 ROUTE 72 W, SUITE 307, MANAHAWKIN, NJ 08050-2468
(609) 625-8000
(609) 978-8941
Mailing address
1100 ROUTE 72 W, SUITE 307, MANAHAWKIN, NJ 08050-2468
(609) 625-8000
(609) 978-8941
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
25MA06393800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7050500
—
NJ
01
—
P00297590
RR MEDICARE
NJ
Enumeration date
06/07/2006
Last updated
02/13/2014
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