Individual provider · Type 1 NPI

Kevin Leong, PA-C

Medical Physician Assistant · Newark, NJ

NPI number 1639500697 Active

Practice location

150 Bergen St
Newark, NJ 07103-2496

Fax (973) 972-3144

Mailing address

185 S Orange Ave, Msb, H538
Newark, NJ 07103-2757

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X25MP00327400 (NJ)

Medical Physician Assistant: Definition to come...

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About NPI 1639500697

Kevin Leong, PA-C's National Provider Identifier is 1639500697, issued on Dec 2, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Newark, NJ. The record was last updated on May 2, 2024.