Individual
DR. LEONARD PINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
701 FOUR SEASONS DR, WAYNE, NJ 07470-1947
(073) 904-3555
Mailing address
701 FOUR SEASONS DR, WAYNE, NJ 07470-1947
(073) 904-3555
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NJ2583
NJ
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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