Individual
LESLIE FRY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
SOMERSET MEDICAL CENTER, 110 REHILL AVENUE, SOMERVILLE, NJ 08876
(908) 685-2200
Mailing address
PO BOX 717, LIVINGSTON, NJ 07039-0717
(973) 740-0607
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00025000
NJ
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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