Provider Demographics
NPI:1033584057
Name:HOWARD LEITNER & PERLMUTTER UROLOGIC ASSOCIATES
Entity Type:Organization
Organization Name:HOWARD LEITNER & PERLMUTTER UROLOGIC ASSOCIATES
Other - Org Name:HLP UROLOGIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-223-7877
Mailing Address - Street 1:2401 STATE ROUTE 35
Mailing Address - Street 2:
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736-1158
Mailing Address - Country:US
Mailing Address - Phone:732-223-7877
Mailing Address - Fax:
Practice Address - Street 1:2401 STATE ROUTE 35
Practice Address - Street 2:
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-1158
Practice Address - Country:US
Practice Address - Phone:732-223-7877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-02
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA065935208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MA065935OtherNEW JERSEY MEDICAL LICENSE