Individual
DR. LEON J HUPPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 PROSPECT ST, SUITE 102, LAKEWOOD, NJ 08701
(732) 367-0699
(732) 367-0937
Mailing address
101 PROSPECT STREET, SUITE 102, LAKEWOOD, NJ 08701
(732) 367-0699
(732) 367-0937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA03468500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0K8110
HEALTH NET
NJ
01
—
22225141
HORIZON
NJ
05
—
2930005
—
NJ
01
—
4093839
AETNA
NJ
01
—
P407030
OXFORD
NJ
Enumeration date
03/22/2006
Last updated
10/02/2017
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