Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223E0200X | Endodontist | 7782 | NC |
Y | 1223E0200X | Endodontist | DI02490100 | NJ |
N | 1223E0200X | Endodontist | DS037346 | PA |
NPI | 1134384597 |
---|---|
Provider Name | Dr. Jason Evan Lambert |
First Address | Egg Harbor Township, NJ 08234-9708 |
Second Address | Egg Harbor Township, NJ 08234-9708 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2008 |
Last Update Date | 28/12/2011 |