| Organization Name: | LEON RUTKOWSKI MD PA |
| NPI Number: | 1104936970 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEON STANLEY RUTKOWSKI (PRESIDENT) |
| Mailing Address: | 20-19 Fair Lawn Ave Fair Lawn |
| State: | NJ US |
| Postal Code: | 07410 |
| Phone Number: | 2017971700 |
| Fax Number: | 2017941082 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 04/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 25MA01947500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |