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NPI Code Detail

MEDICARE: SEAN LOUIS LAGER M.D.

MEDICARE: SEAN LOUIS LAGER M.D.
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
1207XX0005XSports Medicine (Orthopaedic Surgery) Physician25MA08001500NJ
2207X00000XOrthopaedic Surgery Physician25MA08001500NJ

General Provider Information

NPI Number : 1164473864
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN LOUIS LAGER M.D.
Provider Business Mailing Address
First Line : 90 MATAWAN RD STE 302
Second Line :
City : MATAWAN
State : NJ
Zip : 07747-2653
Country : US
Telephone Number : 732-441-7177
Fax Number : 732-441-7165
Provider Business Practice Location Address
First Line : 50 MOUNT PROSPECT AVE STE 104
Second Line :
City : CLIFTON
State : NJ
Zip : 07013-1900
Country : US
Telephone Number : 973-928-1325
Fax Number : 973-365-2371
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 05/14/2024

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Directions to “ SEAN LOUIS LAGER M.D.” Practice Location

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