Lafayette Medical Center, LLC
Internal Medicine in Newark, NJ. Organization (NPI-2).
NPI number1144307166
StatusActive
Last updated in NPPESJul 12, 2010
Details
- NPI
- 1144307166
- Entity type
- Organization (NPI-2)
- Legal business name
- Lafayette Medical Center, LLC
- Organization subpart
- No
- Enumeration date
- Nov 1, 2006
- Last updated
- Jul 12, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 207RG0100X | Internal Medicine, Gastroenterology | – | – |
Practice location
390 New York AveNewark, NJ 07105-3125
Phone 973-344-3518 · Fax 973-344-1167
Mailing address
390 New York AveNewark, NJ 07105-3125
Phone 973-344-3518 · Fax 973-344-1167
Authorized official
Renee Julie Cabaleiro
Doctor
9733443518
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