Individual
DR. LEON SHERMAN DICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2232 MILLBURN AVE, MAPLEWOOD, NJ 07040-2605
(973) 763-8087
(973) 763-6482
Mailing address
2232 MILLBURN AVE, MAPLEWOOD, NJ 07040-2605
(973) 763-8087
(973) 763-6482
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03208100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA03208100
NJ LICENSE
NJ
Enumeration date
02/05/2007
Last updated
07/08/2007
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