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Contact Information

LISA LEUCHTEN, DO
1 BAY AVE
MONTCLAIR, NJ07042-4837
 Phone: 973-429-6200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for LISA LEUCHTEN · (Female)

NPI # 1750667283
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/28/2011
Last updated 08/30/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MB09025900
Hospital affiliation(s)
  • HACKENSACK UMC MOUNTAINSIDE - (Acute Care)
    BAY AND HIGHLAND AVE
    MONTCLAIR, NJ 07042
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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