Individual
MRS. LEAH BIENSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
245 DIAMOND BRIDGE AVE, HAWTHORNE, NJ 07506-1984
(973) 595-5324
(973) 427-0604
Mailing address
245 DIAMOND BRIDGE AVE, HAWTHORNE, NJ 07506-1984
(973) 595-5324
(973) 427-0604
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MP000361
NJ
Other
Enumeration date
06/13/2007
Last updated
01/22/2014
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