| Organization Name: | LEADING MEDICAL CARE LLC |
| NPI Number: | 1023360476 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES COVALESKY (PRESIDENT) |
| Mailing Address: | 3 Hospital Plz Suite 409 Old Bridge |
| State: | NJ US |
| Postal Code: | 088573093 |
| Phone Number: | 9739753084 |
| Fax Number: | |
| NPI Enumeration Date: | 10/10/2012 |
| NPI Last Update Date: | 10/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 25MB08004700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |