Healthcare Provider Details

I. General information

NPI: 1750440228
Provider Name (Legal Business Name): GEORGE LAMBERT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ROBERT WOOD JOHNSON PL BRISTOL-MYERS SQUIBB CHILDREN'S HOSPITAL AT RWJUH
NEW BRUNSWICK NJ
08901-1928
US

IV. Provider business mailing address

317 GEORGE ST UNIVERSITY MEDICAL GROUP 3RD FLOOR
NEW BRUNSWICK NJ
08901-2008
US

V. Phone/Fax

Practice location:
  • Phone: 732-235-5699
  • Fax:
Mailing address:
  • Phone: 732-235-8282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number25MA06007800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: