Healthcare Provider Details

I. General information

NPI: 1366765984
Provider Name (Legal Business Name): CARY M LAMPERT RP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2010
Last Update Date: 03/27/2023
Certification Date: 03/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 US-9
WARETOWN NJ
08758
US

IV. Provider business mailing address

20 RIDGE RD
MAHWAH NJ
07430-2010
US

V. Phone/Fax

Practice location:
  • Phone: 609-971-6002
  • Fax: 609-971-0257
Mailing address:
  • Phone: 201-529-5927
  • Fax: 201-529-1189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number35651
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: