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General NPI Number Information
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NPI Number | 1114264413
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Entity Type | Individual
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Provider Name | LEOPOLD JOHANN STRELETZ MD
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Gender | Male
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Dates
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Enumeration Date | 01/08/2013
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 1000 ASYLUM AVE STE 2112
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City | HARTFORD
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State | CT
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Zip | 06105-1719
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Country | US
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Telephone | 860-522-3711
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Fax | 860-493-7445
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Provider Business Mailing Address
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Address Line | 1000 ORIENTE AVE
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City | GREENVILLE
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State | DE
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Zip | 19807-2261
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Country | US
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Telephone | 302-482-3539
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 01090963A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | 01090963A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | MD012367E
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | EL31789
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License Number State | NH
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