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MICHAEL ALPHONSE LEPIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2420 HIGHWAY 34, MANASQUAN, NJ 08736
(732) 223-2873
(732) 223-5726
Mailing address
2420 HIGHWAY 34, MANASQUAN, NJ 08736
(732) 223-2873
(732) 223-5726

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
25MA07363300
NJ
208VP0000X
Pain Medicine Physician
Primary
25MA07363300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
043675325
QUALCARE
01
043675925
BLUE CROSS BLUE SHIELD
01
192671
AMERIGROUP
01
2253382000
AMERIHEALTH
01
2K3128
HEALTHNET
01
3120203
AETNA
01
4358367
CIGNA
01
73Z641
WELLCHOICES
05
8830908
NJ
01
P2728923
OXFORD
Enumeration date
10/23/2006
Last updated
03/16/2010
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