Individual
LEO MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 222-5240
Mailing address
4 WENNING CT, OAKHURST, NJ 07755-1560
(732) 233-9862
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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