Individual
DR. LEON FREDERICK O'NEILL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11 MERIDIAN RD, EATONTOWN, NJ 07724-2242
(732) 776-5138
(732) 776-6601
Mailing address
11 MERIDIAN RD, EATONTOWN, NJ 07724-2242
(732) 776-5138
(732) 776-6601
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0102208428
VA
207RC0000X
Cardiovascular Disease Physician
Primary
25MB08394100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0267929
—
NJ
01
—
22-3052989
TAX ID#
NJ
Enumeration date
07/30/2007
Last updated
04/09/2024
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