ADA BAISRE-DE LEON

NEWARK, NJ
NPI1407015373
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207ZN0500X Pathology, Neuropathology
(Licence: NJ  25MA08631000)
Additional Taxonomies207ZP0007X Pathology, Molecular Genetic Pathology
(Licence: NJ  25MA08631000)
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: NJ  25MA08631000)
Enumeration Date2008-06-05
Last Update Date2013-08-21
Business Address
-- ADA BAISRE-DE LEON M.D.
185 S ORANGE AVE MSB C557
NEWARK, NJ 07103-2757
Phone number: 973-972-7167
Mailing Address
-- ADA BAISRE-DE LEON M.D.
185 S ORANGE AVE MSB C557
NEWARK, NJ 07103-2757
Phone number: 973-972-7167