Provider Demographics
NPI:1972777449
Name:WEINFELD, LEONARD (RPH)
Entity type:Individual
Prefix:MR
First Name:LEONARD
Middle Name:
Last Name:WEINFELD
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:LEONARD
Other - Middle Name:F
Other - Last Name:WEINFELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:390 WINDFALL LN
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-6008
Mailing Address - Country:US
Mailing Address - Phone:732-356-3455
Mailing Address - Fax:732-356-0036
Practice Address - Street 1:390 WINDFALL LN
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-6008
Practice Address - Country:US
Practice Address - Phone:732-356-3455
Practice Address - Fax:732-356-0036
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01272900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist