Leitman, Mark W

Leitman, Mark W is an individual health care provider with primary practice located at 13 Brunswick Woods Dr , East Brunswick NJ 08816-5601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Leitman, Mark W can be contacted via phone (732) 254-9090.

Contact Information

Primary practice address
13 Brunswick Woods Dr East Brunswick NJ 08816-5601
Fax: (732) 254-4704
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25MA02993800 New Jersey

Profile Details

NPI number 1366485781
LBN Legal business name Leitman, Mark W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 2007 - 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 1366485781 NPPES
New Jersey MEDICAID 2881209

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