Organization
MARK LEBENTHAL MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J LEBENTHAL M.D. (OWNER)
(908) 872-2253
Entity
Organization
Contact information
Practice address
1001 LAUREL TRL, MARTINSVILLE, NJ 08836-2212
(908) 872-2253
(732) 469-8413
Mailing address
1001 LAUREL TRL, MARTINSVILLE, NJ 08836-2212
(908) 872-2253
(732) 469-8413
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MA035336
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
846406
—
NJ
Enumeration date
07/20/2015
Last updated
07/20/2015
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