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Individual

MR. LEO REISBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
11 BISHOP PL, NEW BRUNSWICK, NJ 08901-1178
(848) 932-7402
(732) 932-8255
Mailing address
135 SOMERSET ST APT 1202, NEW BRUNSWICK, NJ 08901-2081
(908) 752-2117

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00265100
NJ

Other

Enumeration date
08/01/2008
Last updated
04/05/2023
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