Individual
ALONSO E. CONCHA LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401-6713
(609) 345-4000
(609) 572-8523
Mailing address
100 E PENN SQ, 9TH FL, PHILADELPHIA, PA 19107-3323
(267) 425-9234
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA08140100
NJ
208000000X
Pediatrics Physician
Primary
MD429937
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020803440008
—
PA
Enumeration date
09/27/2006
Last updated
12/02/2018
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