Individual
A. LEONARD TEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 E RIDGEWOOD AVE, PARAMUS, NJ 07652-4131
(904) 805-1300
(904) 805-1302
Mailing address
230 E RIDGEWOOD AVE, PARAMUS, NJ 07652-4142
(201) 967-4141
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MA57517
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5192706
—
NJ
Enumeration date
06/03/2006
Last updated
07/08/2007
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