Concha Leon, Alonso E.

Concha Leon, Alonso E. is an individual health care provider with primary practice located at 1925 Pacific Ave , Atlantic City NJ 08401-6713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Concha Leon, Alonso E. can be contacted via phone (609) 345-4000.

Contact Information

Primary practice address
1925 Pacific Ave Atlantic City NJ 08401-6713
Phone: (609) 345-4000
Fax: (609) 572-8523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA08140100 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD429937 Pennsylvania

Profile Details

NPI number 1427149327
LBN Legal business name Concha Leon, Alonso E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Dec 2nd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427149327 NPPES
Pennsylvania MEDICAID 1020803440008

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