Organization
NEUROLOGICAL DIAGNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONID SHAPIRO MD (OWNER/PRESIDENT)
(855) 699-7246
Entity
Organization
Contact information
Practice address
201 CHESTNUT ST, NEWARK, NJ 07105-1771
(855) 699-7246
Mailing address
139 HARRISTOWN RD, SUITE 205, GLEN ROCK, NJ 07452-3312
(855) 699-7246
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
NJ
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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