Individual
DR. EDMAR MANABAT LACAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 968-7433
(856) 968-8499
Mailing address
1 FEDERAL ST, STE SW200, CAMDEN, NJ 08103-1155
(856) 968-7433
(856) 968-8499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125053230
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
25MA08985600
NJ
207QS0010X
Sports Medicine (Family Medicine) Physician
MD443555
PA
Other
Enumeration date
09/24/2008
Last updated
10/04/2016
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