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Organization

DIANA S. LEU, MD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DIANA LEU M.D. (MEDICAL DIRECTOR)
(973) 925-7077
Entity
Organization

Contact information

Practice address
330 RATZER RD STE D17, WAYNE, NJ 07470-7704
(973) 925-7077
(973) 925-7078
Mailing address
330 RATZER RD STE D17, WAYNE, NJ 07470-7704
(973) 925-7077
(973) 925-7078

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
25MA07922600
NJ

Other

Enumeration date
11/16/2011
Last updated
01/15/2021
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