Organization
PREMISE HEALTH OF NEW JERSEY MEDICAL, P.C
Active
Other names
Life Cell Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN M.D. (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
1 MILLENNIUM WAY, BRANCHBURG, NJ 08876-3876
(908) 947-1034
(908) 947-1023
Mailing address
16906 COLLECTION CENTER DR, CHICAGO, IL 60693-0001
(908) 947-1034
(908) 947-1023
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/31/2011
Last updated
08/23/2022
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