Jaclyn Melissa Leitner in Fair Lawn - Medical
Jaclyn Melissa Leitner - NPI 1780861724
Jaclyn Melissa Leitner is a Medical in Fair Lawn, New Jersey. Jaclyn Melissa Leitner practices all healthcare services and medical treatments related to Medical. The NPI Number for Jaclyn Melissa Leitner is 1780861724. The last update date is 2017-10-18.
Jaclyn Melissa Leitner's current location address is 31-00 Broadway, Fair Lawn, New Jersey. You can contact this provider via phone number 2017962255 and fax number 2017967020. The mailing address for Jaclyn Melissa Leitner is 31-00 Broadway, Fair Lawn, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaclyn Melissa Leitner |
|---|---|
| Address | 31-00 Broadway, Fair Lawn, New Jersey |
| Phone Number | 2017962255 |
| Fax Number | 2017967020 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1780861724 |
|---|---|
| Provider Enumeration Date | 2008-01-22 |
| Last Updated Date | 2017-10-18 |
Provider Mailing Address Detail
| Address | 31-00 Broadway |
|---|---|
| City | Fair Lawn |
| State | New Jersey (NJ) |
| Post Code | 74103963 |
| Phone Number | 2017962255 |
| Fax Number | 2017967020 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 25MP00188300 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the Jaclyn Melissa Leitner's unique identification number?
The Jaclyn Melissa Leitner has been assigned the NPI (National Provider Identifier) Number 1780861724 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jaclyn Melissa Leitner's physical address?
The Jaclyn Melissa Leitner is physically located at 31-00 Broadway, in the city of Fair Lawn, NJ, with the postal code 74103963.
What is Jaclyn Melissa Leitner's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jaclyn Melissa Leitner is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1780861724 to Jaclyn Melissa Leitner?
The Jaclyn Melissa Leitner received its 1780861724 assignment from the Centers for Medicare & Medicaid Services on 2008-01-22.
As of what date were the details pertaining to Jaclyn Melissa Leitner last refreshed?
The information related to the Jaclyn Melissa Leitner, including its address, specialty, and other relevant details, was last updated on 2017-10-18.
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