Provider Demographics
NPI:1902875461
Name:LARAYA CUASAY, LOURDES R (MD)
Entity Type:Individual
Prefix:DR
First Name:LOURDES
Middle Name:R
Last Name:LARAYA CUASAY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 8000
Mailing Address - Street 2:DEPT 596
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14267-0002
Mailing Address - Country:US
Mailing Address - Phone:866-295-0041
Mailing Address - Fax:708-342-2517
Practice Address - Street 1:67 ROUTE 37 W
Practice Address - Street 2:RIVERWOOD II BLDG. 3RD FLOOR
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-6400
Practice Address - Country:US
Practice Address - Phone:732-557-3541
Practice Address - Fax:732-557-3518
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2013-02-13
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA031812002080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJD06234Medicare UPIN