Individual
BENJAMIN J LEIBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 COOPER PLZ DEPT OF, CAMDEN, NJ 08103-1461
(856) 342-2425
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
25-570-881
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ14973600
NJ
367500000X
Certified Registered Nurse Anesthetist
AP130422
TX
Other
Enumeration date
08/19/2015
Last updated
12/14/2023
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