Individual
MR. JAMES E LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
92 FAIRVIEW AVE, BRICK, NJ 08724-4314
(917) 747-3562
Mailing address
92 FAIRVIEW AVE, BRICK, NJ 08724-4314
(917) 747-3562
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00095200
NJ
363A00000X
Physician Assistant
5620234
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MJ0006
HEALTHNET
—
Enumeration date
03/17/2006
Last updated
02/03/2009
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