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Individual

LUIS LEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
7600 RIVER RD, 2ND FLOOR, NORTH BERGEN, NJ 07047-6217
(201) 319-0003
(201) 313-1265
Mailing address
7600 RIVER RD, 2ND FLOOR, NORTH BERGEN, NJ 07047-6217
(201) 319-0003
(201) 313-1265

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD01709
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1664000
NJ
Enumeration date
06/26/2006
Last updated
04/15/2008
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