Individual
MR. SCOTT ROBERT LEITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
10 GRUMM RD, HAMBURG, NJ 07419-2327
(973) 827-4100
Mailing address
6 SUNRISE DR UNIT 5, VERNON, NJ 07462-4523
(973) 209-4328
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
MT-00791
NJ
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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