Individual
KEVIN LEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-5252
(973) 972-3144
Mailing address
185 S ORANGE AVE, MSB, H538, NEWARK, NJ 07103-2757
(973) 972-5252
(973) 972-3144
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00327400
NJ
Other
Enumeration date
12/02/2013
Last updated
05/02/2024
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