Lung Doctor LLC
NPI #1194770966 in Newark, New Jersey
Provider Information
- NPI Number
- 1194770966
- Entity Type
- Organization
- Organization Name
- Lung Doctor LLC
- Primary Specialty
- Internal Medicine - Pulmonary Disease
- Enumeration Date
- May 23, 2006
- Last Updated
- Jul 30, 2008
Practice Location
- Address
- 722 SANFORD AVE
- City
- Newark
- State
- New Jersey
- ZIP Code
- 07106-3627
- Phone
- (973) 399-9090
Authorized Official
- Name
- AKINGBOJU GBAYSOMORE, DO
- Title
- OWNER
- Phone
- (973) 399-9090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Sleep Medicine — Sleep Medicine |
| Internal Medicine - Pulmonary Disease — Pulmonary Disease |
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