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Individual

LESLIE L MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1255 BROAD ST, CLIFTON, NJ 07013-3398
(973) 327-9584
(833) 578-2190
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
190436
NY
208600000X
Surgery Physician
Primary
25MA09747000
NJ

Other

Enumeration date
12/07/2005
Last updated
07/20/2022
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