Waller, Leon

Waller, Leon is an individual health care provider with primary practice located at 50 Pompton Ave , Verona NJ 07044-2917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Waller, Leon can be contacted via phone (201) 896-0900.

Contact Information

Primary practice address
50 Pompton Ave Verona NJ 07044-2917
Phone: (201) 896-0900
Fax: (201) 896-2627
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MB340004 New Jersey

Profile Details

NPI number 1497847131
LBN Legal business name Waller, Leon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Apr 27th, 2017 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497847131 NPPES
New Jersey Other 514375 AETNA

Popular Providers