Individual
LEANNE N WEYAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
140 CENTRAL AVE STE 700, CLARK, NJ 07066-1121
(732) 943-5042
(732) 943-5032
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00509000
NJ
Other
Enumeration date
09/02/2016
Last updated
07/27/2023
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