Individual
DR. LESLIE N MADRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
900 ROUTE 168, BLACKWOOD, NJ 08012-3233
(856) 857-6920
(856) 429-3826
Mailing address
900 ROUTE 168, BLACKWOOD, NJ 08012-3233
(856) 857-6920
(856) 429-3826
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MB06834200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8526109
—
NJ
Enumeration date
02/07/2006
Last updated
03/21/2017
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