Individual
DR. LESLIE SHREM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
197 RIDGEDALE AVE, SURGICAL CENTER AT CEDAR KNOLLS, CEDAR KNOLLS, NJ 07927
(973) 292-0700
Mailing address
3 OLMSTED LN, MENDHAM, NJ 07945-3058
(973) 607-7815
(973) 543-2854
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA05660000
NJ
207LP3000X
Pediatric Anesthesiology Physician
25MA05660000
NJ
Other
Enumeration date
05/24/2005
Last updated
10/15/2019
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