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Individual

DANIEL BRIAN LERER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
788 WINTHROP RD, TEANECK, NJ 07666-2264
(201) 281-0316
(201) 836-3194
Mailing address
788 WINTHROP RD, TEANECK, NJ 07666-2264
(201) 281-0316
(201) 836-3194

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
217819
NY
2085R0202X
Diagnostic Radiology Physician
25MA07852400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0252964
NJ
01
203038
MEDICARE NUMBER
NJ
Enumeration date
03/29/2007
Last updated
07/11/2014
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