Provider Demographics
NPI:1780986646
Name:LEIZER, JULIE M (MD)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:M
Last Name:LEIZER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:312 PROFESSIONAL VIEW DR
Mailing Address - Street 2:BUILDING 300
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-7904
Mailing Address - Country:US
Mailing Address - Phone:732-431-1616
Mailing Address - Fax:732-866-7962
Practice Address - Street 1:312 PROFESSIONAL VIEW DR
Practice Address - Street 2:BUILDING 300
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-7904
Practice Address - Country:US
Practice Address - Phone:732-431-1616
Practice Address - Fax:732-866-7962
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-29
Last Update Date:2024-01-30
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08844700207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
230836P1DMedicare UPIN