Individual
DR. MARK W LEITMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13 BRUNSWICK WOODS DR, EAST BRUNSWICK, NJ 08816-5601
(732) 254-9090
(732) 254-4704
Mailing address
13 BRUNSWICK WOODS DR, EAST BRUNSWICK, NJ 08816-5601
(732) 254-9090
(732) 254-4704
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA02993800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2881209
—
NJ
Enumeration date
06/14/2006
Last updated
07/08/2007
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