Provider Demographics
NPI:1093724031
Name:SOLOMON, LEAH (MD)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 MADISON AVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6092
Mailing Address - Country:US
Mailing Address - Phone:973-267-5577
Mailing Address - Fax:973-290-7521
Practice Address - Street 1:95 MADISON AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6092
Practice Address - Country:US
Practice Address - Phone:973-267-5577
Practice Address - Fax:973-290-7521
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07993400207R00000X
NJ25MA07793400207RB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MA07993400OtherSTATE LICENESE
NJI71429Medicare UPIN