Organization
PREMISE HEALTH OF NEW JERSEY MEDICAL, P.C
Active
Organization
PREMISE HEALTH OF NEW JERSEY MEDICAL, P.C
Active
Other names
Piscataway Health and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON LEIZMAN MD (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
909 RIVER RD, PISCATAWAY, NJ 08854-5503
(732) 878-7785
(732) 878-7598
Mailing address
5500 MARYLAND WAY, SUITE 400, BRENTWOOD, TN 37027-7048
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2017
Last updated
08/23/2022
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