Provider Demographics
NPI:1346355708
Name:LEFF, SHERYL (MD)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:
Last Name:LEFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:340 KINDERKAMACK RD
Mailing Address - Street 2:
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-2121
Mailing Address - Country:US
Mailing Address - Phone:201-262-2200
Mailing Address - Fax:201-262-1553
Practice Address - Street 1:95 MADISON AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6092
Practice Address - Country:US
Practice Address - Phone:973-984-1111
Practice Address - Fax:973-984-1190
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8049807Medicaid
G81050Medicare UPIN
NJ020140Medicare ID - Type Unspecified