National Provider Identifier Database

BOSTON MEDICAL GROUP NEW JERSEY PA
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

BOSTON MEDICAL GROUP-NEW JERSEY, P.A.
1050 WALL STREET WEST, SUITE 120
LYNDHURST, NJ07071
Phone: 949-200-6616
Fax: 949-258-5076
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for BOSTON MEDICAL GROUP-NEW JERSEY, P.A.

NPI Number 1578973392
Legal business name
LBN
BOSTON MEDICAL GROUP-NEW JERSEY, P.A.
Authorized official TOM LE - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/01/2014
Last updated 05/01/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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