Provider Demographics
NPI:1770676546
Name:LASKEY, RICHARD S (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:S
Last Name:LASKEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:331 GRAND ST
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-2719
Mailing Address - Country:US
Mailing Address - Phone:201-795-5103
Mailing Address - Fax:201-795-1312
Practice Address - Street 1:331 GRAND ST
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-2719
Practice Address - Country:US
Practice Address - Phone:201-795-5103
Practice Address - Fax:201-795-1312
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA49007208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJB77208Medicare UPIN