Individual
MARY A LEGASPI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33 OVERLOOK RD, SUITE L01, SUMMIT, NJ 07901-3570
(908) 522-5700
(908) 273-8014
Mailing address
33 OVERLOOK RD, STE L01, SUMMIT, NJ 07901-3570
(908) 522-5700
(908) 273-8014
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A116589
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A116589
MEDICAL LICENSE
CA
Enumeration date
09/22/2008
Last updated
06/23/2011
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