Active NPIIndividual provider

Dr. Leo Wan, DO

Student in an Organized Health Care Education/Training Program in Mullica Hill, New Jersey

NPI Number1235925728
Practice location
700 Mullica Hill RD, Mullica Hill, NJ 08062-4413
Fax
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Last updated
April 19, 2025

Leo Wan is a Student in an Organized Health Care Education/Training Program based in Mullica Hill, NJ. Leo Wan practices in Mullica Hill, NJ and has the professional credentials of DO. The NPI Number for Leo Wan is 1235925728. The current practice location address for Leo Wan is 700 Mullica Hill RD, Mullica Hill, NJ 08062-4413 and can be reached out via phone at 856-508-1000.

Provider Profile Details

NPI Number
1235925728
Provider Name
Leo Wan
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
700 Mullica Hill RD, Mullica Hill, NJ 08062-4413
Phone Number
856-508-1000
Sole Proprietor
No
Provider Enumeration Date
April 19, 2025
Last Update Date
April 19, 2025
Certification Date
April 19, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
700 Mullica Hill RD
Mullica Hill, NJ 08062-4413
Zip
08062-4413
Phone Number
856-508-1000
Mullica Hill, NJ 08062Get directions →

Provider Business Mailing Address Details

Address
398 Pond Path
East Setauket, NY 11733-1022
City
East Setauket
State
NY
Zip
11733-1022

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Leo Wan, DO?

The NPI number of Dr. Leo Wan, DO is 1235925728. It was assigned on April 19, 2025 and is currently active in the NPPES registry.

What is the specialty of Dr. Leo Wan, DO?

Dr. Leo Wan, DO is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Dr. Leo Wan, DO practice?

The practice location is 700 Mullica Hill RD, Mullica Hill, NJ 08062-4413. The office can be reached at 856-508-1000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235925728 directly on the NPPES registry website.

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