Individual
MRS. LISA PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
15 E TAUNTON AVE, BERLIN, NJ 08009-1622
(856) 767-0320
(856) 768-1080
Mailing address
15 E TAUNTON AVE, BERLIN, NJ 08009-1622
(856) 767-0320
(856) 760-1080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26NJ00821600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841777976
—
NJ
Enumeration date
07/21/2018
Last updated
08/02/2022
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