Healthcare Provider Details

I. General information

NPI: 1811971716
Provider Name (Legal Business Name): LEON STRAUSS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 03/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1777 REISTERSTOWN RD SUITE 380 EAST
BALTIMORE MD
21208-1306
US

IV. Provider business mailing address

1777 REISTERSTOWN RD SUITE 380 EAST
BALTIMORE MD
21208-1393
US

V. Phone/Fax

Practice location:
  • Phone: 410-484-5550
  • Fax: 410-484-5665
Mailing address:
  • Phone: 410-484-5550
  • Fax: 410-484-5665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberD0034104
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: