Individual provider · NPI-1
Michael Benjamin Leff
Technician/Technologist, Optician · Newark, NJ
NPI number1912544719
StatusActive
Last updated in NPPESNov 30, 2019
Details
- NPI
- 1912544719
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Benjamin Leff
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 30, 2019
- Last updated
- Nov 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 31td00387900 | NJ | Yes |
Practice location
75 1st StNewark, NJ 07107-3101
Phone 973-392-8006
Mailing address
75 1st StNewark, NJ 07107-3101
Phone 973-392-8006
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