Individual
DR. LEON BAUTISTA MESINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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