Individual
LESLIE RICHARD CAUVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 NEW HAMPSHIRE AVE, LAKEWOOD, NJ 08701-4509
(732) 901-6400
(732) 901-0744
Mailing address
2290 W COUNTY LINE RD, JACKSON, NJ 08527-2267
(732) 942-4455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB06672100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7690207
—
NJ
Enumeration date
06/27/2005
Last updated
08/31/2007
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