Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | MA41430 | NJ |
NPI | 1003855628 |
---|---|
Provider Name | Dr. Alan Sheldon Lichtbroun |
First Address | East Brunswick, NJ 08816-5601 |
Second Address | East Brunswick, NJ 08816-5601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 26/07/2011 |