Lifestyles Medical

NPI #1699188359 in West Long Branch, New Jersey

Provider Information

NPI Number: 1699188359
Entity Type: Organization
Organization Name: Lifestyles Medical
Primary Specialty: General Practice
Enumeration Date: Jun 10, 2014
Last Updated: Jun 10, 2014

Practice Location

Address: 107 MONMOUTH RD
Address 2: SUITE 104 D
City: West Long Branch
State: New Jersey
ZIP Code: 07764-1021
Phone: (732) 542-2638

Authorized Official

Name: MR. RAND SALANI
Title: ADMIN
Phone: (732) 542-2638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
General Practice	208D00000X	Primary

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