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Contact Information

MICHAEL D LASALLE, MD
200 S ORANGE AVE
228
LIVINGSTON, NJ07039-5817
 Phone: 973-322-0133
 Fax: 973-322-0134
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MICHAEL D LASALLE · (Male)

NPI # 1770676397
Status Active
Credentials MD
Entity Individual
Enumeration date 10/02/2006
Last updated 05/01/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA05925200
  • NJ Other 223600796 AETNA,HORIZON
  • NJ Other P1076991 OXFORD
Hospital affiliation(s)
  • COMMUNITY MEDICAL CENTER - (Acute Care)
    99 RT 37 WEST
    TOMS RIVER, NJ 08755
  • MORRISTOWN MEMORIAL HOSPITAL - (Acute Care)
    100 MADISON AVE
    MORRISTOWN, NJ 07962
  • SAINT BARNABAS MEDICAL CENTER - (Acute Care)
    94 OLD SHORT HILLS ROAD
    LIVINGSTON, NJ 07039
  • UMDNJ UNIVERSITY HOSPITAL - (Acute Care)
    150 BERGEN ST
    NEWARK, NJ 07103
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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