Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 25MA07101100 | NJ |
NPI | 1013052059 |
---|---|
Provider Name | Dr. Leah Marie Alexander |
First Address | West New York, NJ 07093-8357 |
Second Address | Fair Lawn, NJ 07410-2300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2007 |
Last Update Date | 08/07/2007 |