Individual
DR. LESLIE SQUIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
218C SUNSET RD, WILLINGBORO, NJ 08046-1104
(609) 877-0400
(609) 877-1682
Mailing address
218C SUNSET RD, WILLINGBORO, NJ 08046-1104
(609) 877-0400
(609) 877-1682
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA051578
NJ
207R00000X
Internal Medicine Physician
MD027380E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00100780100
AMERICHOICE
NJ
01
—
0085744000
AMERIHEALTH HMO
NJ
01
—
1079899
AETNA US HEALTHCARE
NJ
01
—
1263031
CIGNA
NJ
01
—
2278599
UNITED HEALTHCARE
NJ
05
—
2416808
—
NJ
01
—
3K5919
HEALTHNET
NJ
01
—
42468
UNIVERSITY HEALTH PLAN
NJ
01
—
60019242
HORIZON NJ HEALTH
NJ
01
—
P3638017
OXFORD HEALTH PLAN
NJ
Enumeration date
09/23/2006
Last updated
10/18/2010
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