Provider Demographics
NPI:1992736896
Name:LEADER, HARROLD SETH (MD)
Entity type:Individual
Prefix:DR
First Name:HARROLD
Middle Name:SETH
Last Name:LEADER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:220 HAMBURG TPKE
Mailing Address - Street 2:SUITE 16
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2110
Mailing Address - Country:US
Mailing Address - Phone:973-942-4778
Mailing Address - Fax:973-942-7020
Practice Address - Street 1:220 HAMBURG TPKE
Practice Address - Street 2:SUITE 16
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2110
Practice Address - Country:US
Practice Address - Phone:973-942-4778
Practice Address - Fax:973-942-7020
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA024105002084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0987905Medicaid
NJ0987905Medicaid
NJC60849Medicare UPIN