Healthcare Provider Details
I. General information
NPI: 1922323120
Provider Name (Legal Business Name): HARMONY LEIGHTON-SEIFFER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/30/2010
Last Update Date: 03/17/2020
Certification Date: 03/17/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
452 OLD HOOK RD FL 2
EMERSON NJ
07630-1391
US
IV. Provider business mailing address
PO BOX 419430
BOSTON MA
02241-9430
US
V. Phone/Fax
- Phone: 201-666-3900
- Fax: 201-261-0505
- Phone: 201-967-8221
- Fax: 201-483-2242
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | 25 MB09839000 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: