LAKESIDE NEUROLOGY & RADIOLOGY OF NEW JERSEY PC
Medical Practice at Gateway Ctr, Newark, NJ

License number
New Jersey 25MA07746800
Category
Medical Practice
Type
Specialist
Owner
Name: MR. TOM G WINGER
Title: DIRECTOR
Phone: (847) 510-0530
Address
Address
1 Gateway Ctr #2600, Newark, NJ 07102
National Provider ID: 1356537708
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LAKESIDE NEUROLOGY & RADIOLOGY OF NEW JERSEY PC

Newark, NJ

Registration:
Dec 29, 2006
State ID:
0400159608
Business type:
PA

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