Organization
LEONARDO S FERNANDEZ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARDO SEQUERA FERNANDEZ M.D. (PRESIDENT)
(732) 500-1561
Entity
Organization
Contact information
Practice address
21 CAMBRIDGE RD, HOLMDEL, NJ 07733-2078
(732) 500-1561
(732) 332-0415
Mailing address
21 CAMBRIDGE RD, HOLMDEL, NJ 07733-2078
(732) 500-1561
(732) 332-0415
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
25MA03012100
NJ
Other
Enumeration date
07/23/2007
Last updated
08/25/2007
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