Organization
LDDL SURGICAL PODIATRY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO DAVIDSON DPM (OWNER)
(732) 709-3405
Entity
Organization
Contact information
Practice address
20 VERMEER DR, APT 11, SOUTH AMBOY, NJ 08879-2339
(732) 709-3405
Mailing address
20 VERMEER DR, APT 11, SOUTH AMBOY, NJ 08879-2339
(732) 709-3405
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00307600
NJ
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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