Individual
DANIEL M LEBOVIC
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
326 MAIN ST, METUCHEN, NJ 08840-2431
(732) 767-0630
Mailing address
326 MAIN ST, METUCHEN, NJ 08840-2431
(732) 767-0630
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA48162
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1704907
—
NJ
Enumeration date
05/27/2005
Last updated
07/08/2007
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