Individual
LESLEY ELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-5454
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA061050
NJ
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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