Leal, Luis

Leal, Luis is an individual health care provider with primary practice located at 7600 River Rd 2Nd Floor, North Bergen NJ 07047-6217. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Leal, Luis can be contacted via phone (201) 319-0003.

Contact Information

Primary practice address
7600 River Rd 2Nd Floor North Bergen NJ 07047-6217
Phone: (201) 319-0003
Fax: (201) 313-1265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X MD01709 New Jersey

Profile Details

NPI number 1447287511
LBN Legal business name Leal, Luis
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Apr 15th, 2008 - about 17 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 1447287511 NPPES
New Jersey MEDICAID 1664000

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