MEDICARE: RICK LAMBERT MD

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	207R00000X	Internal Medicine Physician	25MA05016100	NJ

General Provider Information

NPI Number	:	1891739421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICK LAMBERT MD

Provider Business Mailing Address
First Line	:	305 W GRAND AVE
Second Line	:
City	:	MONTVALE
State	:	NJ
Zip	:	07645-1813
Country	:	US
Telephone Number	:	201-326-4788
Fax Number	:	201-649-1798

Provider Business Practice Location Address
First Line	:	305 W GRAND AVE
Second Line	:
City	:	MONTVALE
State	:	NJ
Zip	:	07645-1813
Country	:	US
Telephone Number	:	201-326-4788
Fax Number	:	201-649-1798

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	03/13/2023

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