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NPI Code Detail

MEDICARE: MR. LAWRENCE GREENSTEIN

MEDICARE: MR. LAWRENCE GREENSTEIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker44SL05699000NJ

General Provider Information

NPI Number : 1447688635
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LAWRENCE GREENSTEIN
Provider Business Mailing Address
First Line : 1500 ROUTE 88
Second Line :
City : BRICK
State : NJ
Zip : 08724-2320
Country : US
Telephone Number : 732-276-1510
Fax Number : 732-363-5537
Provider Business Practice Location Address
First Line : 725 AIRPORT RD
Second Line : SUITE 7G
City : LAKEWOOD
State : NJ
Zip : 08701-5968
Country : US
Telephone Number : 732-276-1510
Fax Number : 732-363-5537
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2013
Last Update Date : 10/24/2013

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