MEDICARE: DR. STEVEN MARK LOMAZOW 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
1	2084N0400X	Neurology Physician	25MA03746300	NJ

General Provider Information

NPI Number	:	1306887880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN MARK LOMAZOW M.D.

Provider Business Mailing Address
First Line	:	50 NEWARK AVE
Second Line	:	SUITE 104
City	:	BELLEVILLE
State	:	NJ
Zip	:	07109-1185
Country	:	US
Telephone Number	:	973-751-5643
Fax Number	:	973-751-1322

Provider Business Practice Location Address
First Line	:	50 NEWARK AVE
Second Line	:	SUITE 104
City	:	BELLEVILLE
State	:	NJ
Zip	:	07109-1185
Country	:	US
Telephone Number	:	973-751-5643
Fax Number	:	973-751-1322

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	07/08/2007

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