Provider Demographics
NPI:1659662856
Name:LAWRENCE, JEFFRY BRIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFRY
Middle Name:BRIAN
Last Name:LAWRENCE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3 POND VIEW RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930-3124
Mailing Address - Country:US
Mailing Address - Phone:908-879-4241
Mailing Address - Fax:508-478-1883
Practice Address - Street 1:3 POND VIEW RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930-3124
Practice Address - Country:US
Practice Address - Phone:908-879-4241
Practice Address - Fax:508-478-1883
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-22
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07038600207ZH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology