Individual
DR. HEDY LEIBOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
359 BRICK BLVD, BRICK, NJ 08723-6010
(732) 920-1330
(732) 920-1370
Mailing address
PO BOX 208944, DALLAS, TX 75320-8944
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00542500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7472501
—
NJ
Enumeration date
05/28/2005
Last updated
11/19/2022
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