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Individual

DR. BENNETT LEIFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
301 GODWIN AVE, MIDLAND PARK, NJ 07432-1544
(201) 444-4526
(201) 301-1313
Mailing address
301 GODWIN AVE, MIDLAND PARK, NJ 07432
(201) 444-4526
(201) 301-1313

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MA56065
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
757208
NJ
Enumeration date
04/21/2006
Last updated
04/28/2014
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