31D2008768 CLIA NUMBER - PULMONARY INTERNISTS OF CENTRAL JERSEY

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Laboratory Demographics

CLIA Number: 31D2008768

Facility Name: PULMONARY INTERNISTS OF CENTRAL JERSEY

Facility Address:
721 NORTH BEERS STREET - STE 2H
HOLMDEL, NJ
ZIP 07733
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Facility Phone Number: 732 264-7970

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1205002441

Taxonomy: 207RP1001X - Internal Medicine
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

CLIA Record

Field Name	Field Value
CLIA Number	31D2008768
LAB Type	Physician Office
Facility Name	PULMONARY INTERNISTS OF CENTRAL JERSEY
Street	721 NORTH BEERS STREET - STE 2H
City	HOLMDEL
State	NJ
ZIP	07733
Phone	732 264-7970
CertificateType	4
CertificateEffectiveDate	6/17/2022
CertificateExpirationDate	6/16/2024
FacilityType	Waiver

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