Berger, Leslie

Berger, Leslie is an individual health care provider with primary practice located at 901 West Main Street Ambulatory Campus Suite 100, Freehold NJ 07728. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Berger, Leslie can be contacted via phone (732) 294-2574.

Contact Information

Primary practice address
901 West Main Street Ambulatory Campus Suite 100 Freehold NJ 07728
Fax: (732) 294-2575
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 26NJ00771600 New Jersey

Profile Details

NPI number 1740789049
LBN Legal business name Berger, Leslie
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2018
Last updated Jun 16th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740789049 NPPES
New Jersey MEDICAID 4141008

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