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Contact Information

POMPTON LAKES PULMONARY, P.C.
63 BEAVERBROOK RD STE 301
LINCOLN PARK, NJ07035-1440
 Phone: 973-694-1300
 Fax: 973-694-1399
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for POMPTON LAKES PULMONARY, P.C.

NPI Number 1568417210
LBN Legal business name POMPTON LAKES PULMONARY, P.C.
Authorized official TIMOTHY O'DONNELL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/23/2006
Last updated 04/20/2008 - About 18 years ago
Identifiers
NJ Medicaid 6836101
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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