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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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