Leak, Lee

Leak, Lee is an individual health care provider with primary practice located at 530 New Brunswick Ave , Perth Amboy NJ 08861-3674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Leak, Lee can be contacted via phone (732) 442-3700.

Contact Information

Primary practice address
530 New Brunswick Ave Perth Amboy NJ 08861-3674
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X '25MA07798300 New Jersey

Profile Details

NPI number 1396737763
LBN Legal business name Leak, Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated May 21st, 2010 - about 14 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 1396737763 NPPES
New Jersey MEDICAID 0053384

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