Individual
DR. STEPHEN J LEITNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 MADISON AVE, MOUNT HOLLY, NJ 08060-2038
(609) 261-7046
(609) 914-6067
Mailing address
10 MULBERRY CT, TABERNACLE, NJ 08088-9233
(609) 859-0996
(609) 859-0996
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA05606600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5125707
—
NJ
Enumeration date
06/06/2006
Last updated
07/19/2016
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