Individual
LEON FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 GRASSMERE ST, LAKEWOOD, NJ 08701-5262
(732) 886-5800
Mailing address
11 GRASSMERE ST, LAKEWOOD, NJ 08701-5262
(732) 886-5800
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
13VH04214400
NJ
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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