MEDICARE: DR. ERIC L LAZAR MD

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
1	2086S0120X	Pediatric Surgery Physician	25MA07674300	NJ

General Provider Information

NPI Number	:	1558334862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC L LAZAR MD

Provider Business Mailing Address
First Line	:	140 E RIDGEWOOD AVE STE 570
Second Line	:
City	:	PARAMUS
State	:	NJ
Zip	:	07652-3917
Country	:	US
Telephone Number	:	202-389-0567
Fax Number	:

Provider Business Practice Location Address
First Line	:	140 E RIDGEWOOD AVE STE 570
Second Line	:
City	:	PARAMUS
State	:	NJ
Zip	:	07652-3917
Country	:	US
Telephone Number	:	202-389-0567
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	12/03/2025

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Directions to “ DR. ERIC L LAZAR MD” Practice Location

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