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Contact Information

LEILA MAYBODI, MD
90 BERGEN ST STE 8100
NEWARK, NJ07103-2425
 Phone: 973-972-2550
 Fax: 973-972-5541
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for LEILA MAYBODI · (Female)

NPI # 1962613265
Status Active
Credentials MD
Entity Individual
Enumeration date 05/25/2007
Last updated 10/03/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA10366700
  • PA License # MD441807
Hospital affiliation(s) Not Available
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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