Doctor Name: | DR. STEVEN RANDALL LEIBOWITZ |
NPI Number: | 1053323600 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 25MA05013700 |
Business Practice Address: | 130 Kinderkamack Rd Suite 301 River Edge, NJ - 076611939 |
Business Phone Number: | 2014897772 |
Business Fax Number: | 2014892544 |
Mailing Address: | 130 Kinderkamack Rd, Suite 301 RIVER EDGE |
State: | NJ |
Postal Code: | 076611939 |
Phone Number: | 2014897772 |
Fax Number: | 2014892544 |
NPI Enumeration Date: | 08/12/2006 |
NPI Last Update Date: | 05/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25MA05013700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |