Individual
LEONARDO SEQUERA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 CAMBRIDGE RD, HOLMDEL, NJ 07733
(732) 500-1561
(732) 332-0415
Mailing address
PO BOX 175, HOLMDEL, NJ 07733
(732) 500-1561
(732) 332-0415
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA03012100
NJ
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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