Individual
DR. LEO MENKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
268 MARTIN LUTHER KING BLVD., NEWARK, NJ 07102-0000
(973) 877-5000
Mailing address
66 WEST GILBERT STREET, RED BANK, NJ 07701-4918
(732) 212-0060
(732) 212-0061
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
243528
NY
207R00000X
Internal Medicine Physician
Primary
25MB08679900
NJ
208D00000X
General Practice Physician
243528
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0223336
—
NJ
01
—
3768498000
AMERIHEALTH
NJ
01
—
P00829596
RR MEDICARE
NJ
Enumeration date
02/25/2008
Last updated
09/26/2021
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