Leon Dick, MD PA
Specialist in Maplewood, NJ. Organization (NPI-2).
NPI number1770901845
StatusActive
Last updated in NPPESApr 29, 2014
Details
- NPI
- 1770901845
- Entity type
- Organization (NPI-2)
- Legal business name
- Leon Dick, MD PA
- Organization subpart
- No
- Enumeration date
- Apr 4, 2014
- Last updated
- Apr 29, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 25MA03208100 | NJ | Yes |
Practice location
2232 Millburn AveMaplewood, NJ 07040-2605
Phone 973-763-8087 · Fax 973-763-6482
Mailing address
2232 Millburn AveMaplewood, NJ 07040-2605
Phone 973-763-8087 · Fax 973-763-6482
Authorized official
Leon S Dick
President
9737638087
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