Individual
KEITH S LEIBOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
415 BOULEVARD, MOUNTAIN LAKES, NJ 07046
(973) 334-7700
(973) 402-5847
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MB078666000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070122
—
NJ
Enumeration date
01/30/2006
Last updated
03/22/2021
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