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Individual

LEONARD T NICOSIA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
330 RATZER RD, STE.#7, WAYNE, NJ 07470-7702
(973) 694-2222
(973) 694-7664
Mailing address
330 RATZER RD, STE.#7, WAYNE, NJ 07470-7702
(973) 694-2222
(973) 694-7664

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA03341200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0097526000
AMERIHEALTH
NJ
01
0K2677
HEALTHNET
NJ
05
1559206
NJ
01
P383924
OXFORD
NJ
Enumeration date
05/26/2006
Last updated
07/08/2007
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