Individual
DR. LEON L TING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 SUMMIT AVE, HACKENSACK, NJ 07601
(201) 487-4595
(201) 487-0641
Mailing address
75 SUMMIT AVE, HACKENSACK, NJ 07601
(201) 487-4595
(201) 487-0641
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA08026100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11539836
CAQH
—
Enumeration date
04/05/2006
Last updated
11/27/2012
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