Individual
ERNEST B LEIBOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 SPARTA AVE, #A-5, SPARTA, NJ 07871-1150
(973) 729-0224
(973) 729-0234
Mailing address
350 SPARTA AVE, #A-5, SPARTA, NJ 07871-1150
(973) 729-0224
(973) 729-0234
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25 MA 4350600
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223115510
TAX ID
NJ
Enumeration date
10/03/2005
Last updated
07/08/2007
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