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Contact Information

NICHOLAS J LEZZO, PA
2102 CORLIES AVE
NEPTUNE CITY, NJ07753-6141
 Phone: 732-776-8535
 Fax: 732-774-9148
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NICHOLAS J LEZZO · (Male)

NPI # 1023288198
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 03/05/2008
Last updated 01/07/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MP00187300
  • NY License # 013280
  • NJ Other 25MP00187300 NJ LICENSE
Hospital affiliation(s)
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care)
    1945 RTE 33
    NEPTUNE, NJ 07754
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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