Individual
LEISA O'FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
34 COLSON LN, MULLICA HILL, NJ 08062-1502
(856) 223-8930
(856) 223-8948
Mailing address
PO BOX 22581, NEW YORK, NY 10087-2581
(610) 482-4795
(856) 528-3117
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MB07830600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0081680
—
NJ
Enumeration date
06/04/2006
Last updated
07/21/2021
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