Individual
JEFFREY T LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 CENTRAL AVE STE 500, NEW PROVIDENCE, NJ 07974
(908) 795-1192
(908) 795-1193
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME118641
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
25MA08236500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012468600
—
FL
05
—
0475777
—
NJ
01
—
P01391881
RAILROAD MEDICARE
FL
01
—
PENDING
BCBS
FL
Enumeration date
06/19/2007
Last updated
06/12/2018
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