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Contact Information

SUSAN M LAGE, DO
501 IRON BRIDGE RD STE 3
FREEHOLD TOWNSHIP, NJ07728-5305
 Phone: 732-462-7030
 Fax: 732-308-3562
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for SUSAN M LAGE · (Female)

NPI # 1689784159
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/30/2006
Last updated 01/16/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MB05630500
  • NJ Medicaid 0558702
Hospital affiliation(s)
  • CENTRASTATE MEDICAL CENTER - (Acute Care)
    901 WEST MAIN STREET
    FREEHOLD, NJ 07728
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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