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Individual

CARMENCITA T LANEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
201-205 NEW BRUNSWICK AVE, HOPELAWN, NJ 08861-2368
(732) 205-1610
(732) 442-4545
Mailing address
201-205 NEW BRUNSWICK AVE, HOPELAWN, NJ 08861-2368
(732) 205-1610
(732) 442-4545

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA04391700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2020201
NJ
Enumeration date
12/11/2006
Last updated
07/01/2019
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