Individual
MR. MICHAEL BENJAMIN LEFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 1ST ST, NEWARK, NJ 07107-3101
(973) 392-8006
Mailing address
75 1ST ST, NEWARK, NJ 07107-3101
(973) 392-8006
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
31TD00387900
NJ
Other
Enumeration date
11/30/2019
Last updated
11/30/2019
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