Mahwah Medical

NPI #1366612178 in Mahwah, New Jersey

Provider Information

NPI Number: 1366612178
Entity Type: Organization
Organization Name: Mahwah Medical
Primary Specialty: Internal Medicine
Enumeration Date: Mar 7, 2008
Last Updated: Sep 9, 2009

Practice Location

Address: 10 FRANKLIN TPKE
City: Mahwah
State: New Jersey
ZIP Code: 07430-1304
Phone: (201) 529-0033

Authorized Official

Name: DR. GLENN R LESLIE, DO
Title: PRESIDENT
Phone: (201) 529-0033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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