Individual
GLENN DAVID LEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
18 TUTOR PL, EAST BRUNSWICK, NJ 08816-3658
(732) 570-5675
Mailing address
PO BOX 6262, EAST BRUNSWICK, NJ 08816-6262
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH7049
FL
111NS0005X
Sports Physician Chiropractor
Primary
MC04697
NJ
Other
Enumeration date
11/29/2006
Last updated
11/03/2016
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