Organization
MAHWAH MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN R LESLIE DO (PRESIDENT)
(201) 529-0033
Entity
Organization
Contact information
Practice address
10 FRANKLIN TPKE, MAHWAH, NJ 07430-1304
(201) 529-0033
(201) 529-5913
Mailing address
10 FRANKLIN TPKE, MAHWAH, NJ 07430-1304
(201) 529-0033
(201) 529-5913
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MB42681
NJ
Other
Enumeration date
03/07/2008
Last updated
09/09/2009
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