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Individual

THOMAS A LEESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
141 BRIDGETON PIKE UNIT B, MULLICA HILL, NJ 08062-2615
(856) 746-0206
(856) 746-0207
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 746-0206
(856) 746-0207

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
272208
NY
207Q00000X
Family Medicine Physician
15352
NH
207Q00000X
Family Medicine Physician
2097
ME
207Q00000X
Family Medicine Physician
Primary
25MB11150900
NJ
207Q00000X
Family Medicine Physician
LT 3042
NH
207Q00000X
Family Medicine Physician
OS016477
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1019471
VT
05
30229007
NH
05
432682399
ME
Enumeration date
01/10/2007
Last updated
10/25/2024
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