Provider Demographics
NPI:1992815765
Name:LASKIN & HIGGINS INTERNAL MEDICINE LLC
Entity type:Organization
Organization Name:LASKIN & HIGGINS INTERNAL MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:LASKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-845-8010
Mailing Address - Street 1:400 GROVE RD
Mailing Address - Street 2:PO BOX 37
Mailing Address - City:THOROFARE
Mailing Address - State:NJ
Mailing Address - Zip Code:08086-0037
Mailing Address - Country:US
Mailing Address - Phone:856-845-8010
Mailing Address - Fax:856-845-9398
Practice Address - Street 1:400 GROVE RD
Practice Address - Street 2:
Practice Address - City:THOROFARE
Practice Address - State:NJ
Practice Address - Zip Code:08086-0037
Practice Address - Country:US
Practice Address - Phone:856-845-8010
Practice Address - Fax:856-845-9398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0382197001OtherAMERIHEALTH
NJ3185001Medicaid
NJ3185001Medicaid