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Individual

DR. LEE LEAK JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3674
(732) 442-3700
Mailing address
66 WEST GILBERT STREET, RED BANK, NJ 07701-4918
(732) 212-0060

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
'25MA07798300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0053384
NJ
Enumeration date
08/22/2005
Last updated
05/21/2010
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