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Individual

DR. PHILIP STANLEY LEDEREICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1033 CLIFTON AVENUE, SUITES 204 AND 206, CLIFTON, NJ 07013
(973) 470-8266
(973) 470-8288
Mailing address
1033 CLIFTON AVENUE, SUITE 204, CLIFTON, NJ 07013
(973) 470-8266
(973) 470-8288

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
MA062691
NJ

Other

Enumeration date
05/27/2005
Last updated
07/25/2012
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