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NPI Code Detail

MEDICARE: DR. EDWARD LIFSHITZ M.D.

MEDICARE: DR. EDWARD LIFSHITZ 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
1207R00000XInternal Medicine Physician25MA05693100NJ

General Provider Information

NPI Number : 1902912991
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD LIFSHITZ M.D.
Provider Business Mailing Address
First Line : 5 TAHOE CT
Second Line :
City : CLINTON
State : NJ
Zip : 08809-1070
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2 NORTH RD
Second Line :
City : CHESTER
State : NJ
Zip : 07930-2318
Country : US
Telephone Number : 908-879-7730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 07/07/2009

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