Healthcare Provider Details

I. General information

NPI: 1790938819
Provider Name (Legal Business Name): IN-BALANCE HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2008
Last Update Date: 11/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 CHESTNUT RIDGE RD
MONTVALE NJ
07645-1802
US

IV. Provider business mailing address

10 SHIELD DR
WOODCLIFF LAKE NJ
07677-8128
US

V. Phone/Fax

Practice location:
  • Phone: 201-391-8282
  • Fax:
Mailing address:
  • Phone: 201-476-0020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberMA050161
License Number StateNJ

VIII. Authorized Official

Name: DR. RICK OWEN LAMBERT
Title or Position: OWNER
Credential: M.D.
Phone: 201-476-0020