# KEVIN L LEEN MD E ALLAN SPEIDELL MD ASSOC IN INTERNAL MED PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891720827
- **Authorized official:** KEVIN LAURI LEEN MD (TREASURER)
- **Authorized official phone:** (973) 992-6487

## Contact information

- **Practice address:** 65 EAST NORTHFIELD ROAD, LIVINGSTON, NJ 07039
- **Practice address phone:** (973) 992-6487
- **Practice address fax:** (973) 992-7040
- **Mailing address:** 65 EAST NORTHFIELD ROAD, LIVINGSTON, NJ 07039
- **Mailing address phone:** (973) 992-6487
- **Mailing address fax:** (973) 992-7040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA01920400 | NJ | Yes |
| 207R00000X | Internal Medicine Physician | 25MA01924700 | NJ | — |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 03/07/2008
