Individual
DR. LEON BAUTISTA MESINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
F2A BRIER HILL CT, EAST BRUNSWICK, NJ 08816-3366
(732) 955-6099
(732) 307-7503
Mailing address
F2A BRIER HILL CT, EAST BRUNSWICK, NJ 08816-3366
(732) 955-6099
(732) 307-7503
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06034900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0764956000
AMERIHEALTH #
NJ
01
—
1068579
AETNA HMO #
NJ
01
—
13415
UNIVERSITY HEALTH PLANS #
NJ
01
—
22956
AMERIGROUP #
NJ
01
—
2K9099
HEALTHNET #
NJ
01
—
5842446
AETNA PPO #
NJ
01
—
60017500
HORIZON NJ HEALTH #
NJ
05
—
6186301
—
NJ
01
—
MI000047600
AMERICHOICE #
NJ
01
—
P3630255
OXFORD #
NJ
Enumeration date
06/16/2006
Last updated
06/28/2020
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