Individual
MR. MARK LEJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
654 E JERSEY ST, ELIZABETH, NJ 07206-1261
(908) 994-7552
Mailing address
PO BOX 89, WOOD RIDGE, NJ 07075-0089
(973) 519-2269
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ14964400
NJ
Other
Enumeration date
01/03/2024
Last updated
03/06/2024
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