Provider Demographics
NPI:1891078085
Name:LEIBFRIED, MARIA TRONCONE (BS, PHARMD,, RPH)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:TRONCONE
Last Name:LEIBFRIED
Suffix:
Gender:F
Credentials:BS, PHARMD,, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 PAVONIA AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-1739
Mailing Address - Country:US
Mailing Address - Phone:201-575-3820
Mailing Address - Fax:201-802-9442
Practice Address - Street 1:232 PAVONIA AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-1739
Practice Address - Country:US
Practice Address - Phone:201-575-3820
Practice Address - Fax:201-802-9442
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02279900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist