Provider Demographics
NPI:1912111410
Name:NEUMAN, MICHAEL LESLIE (DMD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LESLIE
Last Name:NEUMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 ROWENA RD
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-1719
Mailing Address - Country:US
Mailing Address - Phone:732-972-5912
Mailing Address - Fax:
Practice Address - Street 1:5 ELM ROW
Practice Address - Street 2:SUITE101
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-2103
Practice Address - Country:US
Practice Address - Phone:732-246-3289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI 151761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice