Leslie, Martha Irene
Leslie, Martha Irene is an individual health care provider with primary practice located at 2111 New Rd Suite 103, Northfield NJ 08225-1547. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Leslie, Martha Irene can be contacted via phone (609) 641-8400.Contact Information
Primary practice address
2111 New Rd Suite 103
Northfield NJ 08225-1547
Phone: (609) 641-8400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD060196L | Pennsylvania |
Profile Details
| NPI number | 1568420024 |
|---|---|
| LBN Legal business name | Leslie, Martha Irene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Apr 11th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568420024 | NPPES |
| Pennsylvania | MEDICAID | 01447943 |
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