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Organization

MEDALLION SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL LUTZ (OWNER)
(732) 961-2020
Entity
Organization

Contact information

Practice address
212 2ND ST, SUITE 105, LAKEWOOD, NJ 08701-3424
(732) 961-2020
(732) 961-1754
Mailing address
212 2ND ST, SUITE 105, LAKEWOOD, NJ 08701-3424
(732) 961-2020
(732) 961-1754

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
04/16/2015
Last updated
04/16/2015
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