Leonard Staller P.A.

NPI 1720015183 - Urology - 208800000X

NPI Details
NPI 1720015183
Gender Male
Enumeration Date 06/28/2006
Last Updated 01/21/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
72 W JIM LEEDS RD
SUITE 1300
ABSECON NJ, 08205-9406, US
Phone (609) 652-6876
Fax (609) 652-5277
Business Location
296 N 5TH AVE
HIGHLAND PARK NJ, 08904-2953, US
Phone (732) 253-0088
Fax
Toxanomy
Taxonomy Code 208800000X
License State New Jersey
License Number 25MP00001000
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According to our database, Mr. Leonard Staller P.A. NPI is 1720015183, taxonomy code is 208800000X and license number is 25MP00001000, license state is located at New Jersey. Leonard Staller P.A. physically located at 72 W Jim Leeds Rd, Absecon NJ, 08205-9406. NPI Number Leonard Staller P.A. has the Individual type.

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1720015183 NPI number is provided on an as is basis without warranty of any kind. 1720015183 is maintained by the National Plan & Provider Enumeration System. The contents of Leonard Staller P.A. are for informational purposes only.