Organization
NORTH JERSEY MEDICAL ASSOC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD T NICOSIA M.D. (MANAGING PARTNER)
(973) 694-2222
Entity
Organization
Contact information
Practice address
330 RATZER RD, STE 13, WAYNE, NJ 07470-7702
(973) 694-0000
(973) 694-5184
Mailing address
PO BOX 370, PEQUANNOCK, NJ 07440-0370
(973) 694-2222
(973) 694-5184
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03341200
NJ
Other
Enumeration date
09/29/2009
Last updated
10/08/2009
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