JOHNNY LARSEN

LAKEWOOD, NJ
NPI1417976341
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NJ  25MB05391100)
Enumeration Date2006-07-19
Last Update Date2007-07-08
Business Address
-- JOHNNY LARSEN DO
600 RIVER AVE KIMBALL MEDICAL CENTER
LAKEWOOD, NJ 08701-5237
Phone number: 732-363-1900
Mailing Address
-- JOHNNY LARSEN DO
PO BOX 717
LIVINGSTON, NJ 07039-0717
Phone number: 973-740-0607
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