Individual
DR. MARTHA IRENE LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2111 NEW RD, SUITE 103, NORTHFIELD, NJ 08225-1547
(609) 641-8400
Mailing address
2111 NEW RD, SUITE 103, NORTHFIELD, NJ 08225-1547
(609) 641-8400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD060196L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01447943
—
PA
Enumeration date
05/03/2006
Last updated
04/11/2014
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