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NPI Code Detail

MEDICARE: JUSTIN DANIEL WERDER LAC

MEDICARE: JUSTIN DANIEL WERDER LAC
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
1101Y00000XCounselor37AC00846900NJ

General Provider Information

NPI Number : 1902758386
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN DANIEL WERDER LAC
Provider Business Mailing Address
First Line : 4287 US HIGHWAY 1
Second Line :
City : MONMOUTH JUNCTION
State : NJ
Zip : 08852-1902
Country : US
Telephone Number : 609-759-9089
Fax Number :
Provider Business Practice Location Address
First Line : 4287 US HIGHWAY 1
Second Line :
City : MONMOUTH JUNCTION
State : NJ
Zip : 08852-1902
Country : US
Telephone Number : 609-759-9089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “ JUSTIN DANIEL WERDER LAC” Practice Location

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