Individual
JAIME F LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 STANWORTH ROAD, KENDALL PARK, NJ 08824
(732) 940-0505
(732) 940-1997
Mailing address
3 STANWORTH ROAD, KENDALL PARK, NJ 08824
(732) 940-0505
(732) 940-1997
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA04235300
NJ
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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