Individual
PERRY L. LEONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
619 UNION AVE, BUILDING 1, FIRST FLOOR, MIDDLESEX, NJ 08846-1963
(732) 356-3212
(732) 356-5002
Mailing address
619 UNION AVE, BUILDING 1, FIRST FLOOR, MIDDLESEX, NJ 08846-1963
(732) 356-3212
(732) 356-5002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA061062
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223508109
HORIZON PROVIDER NUMBER
NJ
01
—
223580109
UNITED HEALTHCARE PROVIDE
NJ
01
—
539794
AETNA PROVIDER NUMBER
NJ
05
—
6691706
—
NJ
01
—
P377639
OXFORD PROVIDER ID
NJ
Enumeration date
01/11/2006
Last updated
12/08/2009
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