Davidson, Leo

Davidson, Leo is an individual health care provider with primary practice located at 667 Eagle Rock Ave , West Orange NJ 07052-2177. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Davidson, Leo can be contacted via phone (732) 709-3405.

Contact Information

Primary practice address
667 Eagle Rock Ave West Orange NJ 07052-2177
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 25MD00307600 New Jersey

Profile Details

NPI number 1467743732
LBN Legal business name Davidson, Leo
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2011
Last updated Jul 26th, 2023 - about last year

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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