Individual
ANGEL AMADO LAZO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 MEADOWLANDS PKWY FL 3, SECAUCUS, NJ 07094-2977
(201) 978-7740
(201) 360-2385
Mailing address
PO BOX 4335, WARREN, NJ 07059-0335
(201) 978-7740
(201) 392-3514
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA07052300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8394709
—
NJ
Enumeration date
03/21/2006
Last updated
05/28/2015
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