Individual
NICHOLAS DE LEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
331 NEWMAN SPRINGS RD, RED BANK, NJ 07701-5688
(833) 615-2618
(732) 747-8720
Mailing address
331 NEWMAN SPRINGS RD, RED BANK, NJ 07701-5688
(833) 615-2618
(732) 747-8720
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
25MA11389900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
161628
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2018
Last updated
04/28/2026
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