Leonardo S Fernandez, Llc

NPI 1013117423 - Clinic/Center - 261Q00000X

NPI Details
NPI 1013117423
Enumeration Date 07/23/2007
Last Updated 08/25/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LEONARDO SEQUERA LEONARDO
Position PRESIDENT
Phone (732) 500-1561
Fax (732) 332-0415
Practice Location
21 CAMBRIDGE RD
HOLMDEL NJ, 07733-2078, US
Phone (732) 500-1561
Fax (732) 332-0415
Business Location
21 CAMBRIDGE RD
HOLMDEL NJ, 07733-2078, US
Phone (732) 500-1561
Fax (732) 332-0415
Toxanomy
Taxonomy Code 261Q00000X
License State New Jersey
License Number 25MA03012100
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According to our database, Leonardo S Fernandez, Llc NPI is 1013117423, taxonomy code is 261Q00000X and license number is 25MA03012100, license state is located at New Jersey. Leonardo S Fernandez, Llc physically located at 21 Cambridge Rd, Holmdel NJ, 07733-2078. NPI Number 1033115704 has the healthcare provider type.

1013117423 NPI number is provided on an as is basis without warranty of any kind. 1013117423 is maintained by the National Plan & Provider Enumeration System. The contents of Leonardo S Fernandez, Llc are for informational purposes only.