-- THOMAS ROSSER LAKE III md
Individual Provider (NPI-1)
Active
Colon & Rectal Surgery
Provider Information
- NPI Number
1003881277- Provider Type
- Individual Provider (NPI-1)
- Credentials
- md
- Status
- Active
Contact & Location
- Address
- 255 MONMOUTH RD, OAKHURST, NJ, 077551515
- Phone
- (732) 531-5445
- Fax
- (732) 531-1776
Specialties & Taxonomies
Colon & Rectal Surgery
Primary License: NJ #25ma07084700