Organization
ROBERT J. VAN DER LEEST MD, INC.
Active
Organization
ROBERT J. VAN DER LEEST MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT VANDERLEEST MD (MD)
(650) 324-9135
Entity
Organization
Contact information
Practice address
800 E BROWARD BLVD, SUITE 507, FORT LAUDERDALE, FL 33301-2008
(954) 736-4331
(954) 763-4775
Mailing address
800 CREEK DR, MENLO PARK, CA 94025-5317
(650) 324-9135
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639254394
NPPES
CA
Enumeration date
01/15/2014
Last updated
01/16/2014
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