Active NPIIndividual provider

Dr. Leo Davidson, DPM

Podiatrist, Foot & Ankle Surgery in West Orange, New Jersey

NPI Number1467743732
Practice location
667 Eagle Rock Ave, West Orange, NJ 07052-2177
Fax
—
Last updated
July 26, 2023

Leo Davidson is a Podiatrist, Foot & Ankle Surgery based in West Orange, NJ. Leo Davidson practices in West Orange, NJ and has the professional credentials of DPM. The NPI Number for Leo Davidson is 1467743732 and holds a License No. 25MD00307600 (NJ). The current practice location address for Leo Davidson is 667 Eagle Rock Ave, West Orange, NJ 07052-2177 and can be reached out via phone at 732-709-3405.

Provider Profile Details

NPI Number
1467743732
Provider Name
Leo Davidson
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
667 Eagle Rock Ave, West Orange, NJ 07052-2177
Phone Number
732-709-3405
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
No
Provider Enumeration Date
April 21, 2011
Last Update Date
July 26, 2023
Certification Date
July 26, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
667 Eagle Rock Ave
West Orange, NJ 07052-2177
Zip
07052-2177
Phone Number
732-709-3405
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
667 Eagle Rock Ave
West Orange, NJ 07052-2177
City
West Orange
State
NJ
Zip
07052-2177
Phone Number
732-709-3405

License Information

License Number
25MD00307600
License State
NJ
Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

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 Davidson, DPM?

The NPI number of Dr. Leo Davidson, DPM is 1467743732. It was assigned on April 21, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Leo Davidson, DPM?

Dr. Leo Davidson, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00307600.

Where does Dr. Leo Davidson, DPM practice?

The practice location is 667 Eagle Rock Ave, West Orange, NJ 07052-2177. The office can be reached at 732-709-3405 (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 1467743732 directly on the NPPES registry website.

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