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31D1018204 CLIA NUMBER - DOVER INTERNAL MEDICINE

Laboratory Demographics

CLIA Number: 31D1018204

Facility Name: DOVER INTERNAL MEDICINE

Facility Address:
530 LAKEHURST ROAD
TOMS RIVER, NJ
ZIP 08755
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Facility Phone Number: 732 341-8901

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1164695185

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 31D1018204
LAB Type Physician Office
Facility Name DOVER INTERNAL MEDICINE
Street 530 LAKEHURST ROAD
City TOMS RIVER
State NJ
ZIP 08755
Phone 732 341-8901
CertificateType 4
CertificateEffectiveDate 10/16/2023
CertificateExpirationDate 10/15/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024