Organization
LAWRENCE G VAN HORN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE GORDON VAN HORN M D (OFFICER)
(732) 280-8088
Entity
Organization
Contact information
Practice address
3350 HIGHWAY 138, BUILDING 1 SUITE 115, WALL TOWNSHIP, NJ 07719-9693
(732) 280-8088
(732) 280-8801
Mailing address
3350 HIGHWAY 138, BUILDING 1 SUITE 115, WALL TOWNSHIP, NJ 07719-9693
(732) 280-8088
(732) 280-8801
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA67736
NJ
Other
Enumeration date
11/15/2005
Last updated
07/12/2007
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