Individual
DR. LEIZLE TALANGBAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 2ND AVE, DEPARTMENT OF RADIOLOGY, LONG BRANCH, NJ 07740-6303
(732) 923-6806
(732) 923-6006
Mailing address
300 2ND AVE, DEPARTMENT OF RADIOLOGY, LONG BRANCH, NJ 07740-6303
(732) 923-6806
(732) 923-6006
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
239964
NY
2085R0202X
Diagnostic Radiology Physician
Primary
25MA08072900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141488
—
NJ
Enumeration date
07/31/2006
Last updated
05/15/2008
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