Individual
MICHELLE LEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
579A CRANBURY RD, EAST BRUNSWICK, NJ 08816-5426
(732) 390-0040
Mailing address
579A CRANBURY RD, EAST BRUNSWICK, NJ 08816-5426
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA11288100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2016
Last updated
12/22/2022
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