Leone, Mark R

Leone, Mark R is an individual health care provider with primary practice located at 102 W. White Horse Road Suite 102, Voorhees NJ 08043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Leone, Mark R can be contacted via phone (856) 783-6200.

Contact Information

Primary practice address
102 W. White Horse Road Suite 102 Voorhees NJ 08043
Fax: (856) 783-8434
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MB05147400 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MB51474 New Jersey

Profile Details

NPI number 1144295049
LBN Legal business name Leone, Mark R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Dec 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144295049 NPPES
New Jersey MEDICAID 2263301

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