Individual
DR. LEONID JOHN CHRUCKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
374 BUCKHORN DRIVE, BELVIDERE, NJ 07823-2706
(201) 888-9438
Mailing address
374 BUCKHORN DR, BELVIDERE, NJ 07823-2706
(201) 888-9438
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA040282
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1997408
—
NJ
01
—
624475C2F
MEDICARE BILLING NO.
NJ
Enumeration date
03/14/2006
Last updated
09/30/2016
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