Whalio Doctors

NPI 1003881277

Thomas Rosser Lake, MD

Practitioner Colon & Rectal Surgery Physician Oakhurst, NJ

Practice location

Address
255 Monmouth Rd, Oakhurst, NJ 07755-1515
Phone
(732) 531-5445
Fax
(732) 531-1776

Registered specialties

Colon & Rectal Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 25MA07084700 (NJ)

Registry record

NPI
1003881277
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Feb 2006
Record last updated
4 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.