Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 7593 | NJ |
NPI | 1053580977 |
---|---|
Provider Name | Dr. Leon Nehmad |
First Address | Northfield, NJ 08402 |
Second Address | Northfield, NJ 08402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2008 |
Last Update Date | 25/02/2008 |