Mario Mendes Leitao JR.
Gynecologic Oncologist
30 Bergen St Admc 12 1205
Newark
, New Jersey 07107-3000
Mario Mendes Leitao JR.
Gynecologic Oncologist
30 Bergen St Admc 12 1205
Newark
, New Jersey 07107-3000
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Mario Mendes Leitao JR.
- 30 Bergen St Admc 12 1205
- Newark, NJ
- Zip : 07107-3000
- Phone :
Second Address
- Mario Mendes Leitao JR.
- 30 Bergen St Admc 12 1205
- Newark, NJ
- Zip : 07107-3000
- Phone : (973) 972-0037
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | 25MA07727200 | NJ |
National Provider Identifier
| NPI | 1225068372 |
|---|---|
| Provider Name | Mario Mendes Leitao JR. |
| First Address | Newark, NJ 07107-3000 |
| Second Address | Newark, NJ 07107-3000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0043800 | (05) | NJ |
| I21949 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.