MEDICARE: LEON & LEON, M.D., P.A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124096524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEON & LEON, M.D., P.A

Provider Business Mailing Address
First Line	:	3261 OLD WASHINGTON RD
Second Line	:	SUITE 3010
City	:	WALDORF
State	:	MD
Zip	:	20602-3223
Country	:	US
Telephone Number	:	301-645-9551
Fax Number	:	301-645-0039

Provider Business Practice Location Address
First Line	:	3261 OLD WASHINGTON RD
Second Line	:	SUITE 3010
City	:	WALDORF
State	:	MD
Zip	:	20602-3223
Country	:	US
Telephone Number	:	301-645-9551
Fax Number	:	301-645-0039

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JOAN BARKER
Credential	:	CMM
Telephone Number	:	301-645-9551

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	06/27/2008

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Directions to “LEON & LEON, M.D., P.A ” Practice Location

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