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Contact Information

GLORIA M LAX, MD
99 BEAUVOIR AVE
SUMMIT, NJ07901-3533
 Phone: 908-522-2232
 Fax: 908-522-0227
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for GLORIA M LAX · (Female)

NPI Number 1922042787
Status Active
Credentials MD
Entity Individual
Enumeration date 06/15/2006
Last updated 07/12/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # MA73539
  • NJ Medicaid 8999708
Hospital affiliation(s) Not Available
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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