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Contact Information

THERESE LIZARDO, MD
165 PARLIN LN
WATCHUNG, NJ07069-5400
 Phone: 908-757-2149
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for THERESE LIZARDO · (Female)

NPI Number 1952792368
Status Active
Credentials MD
Entity Individual
Enumeration date 02/08/2015
Last updated 06/04/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA09642100
Hospital affiliation(s)
  • EAST ORANGE GENERAL HOSPITAL - (Acute Care)
    300 CENTRAL AVE
    EAST ORANGE, NJ 07018
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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