Individual
DR. LEONARD A POWELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. O.
Contact information
Practice address
42 E LAUREL RD STE 1800, STRATFORD, NJ 08084-1338
(856) 566-6843
(856) 566-6419
Mailing address
42 E LAUREL RD STE 1800, STRATFORD, NJ 08084-1338
(856) 566-6843
(856) 566-6419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MB09553400
NJ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
25MB09553400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0480479
—
NJ
Enumeration date
06/21/2012
Last updated
03/15/2024
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