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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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