MEDICARE: MR. LEONARD A CEBULA APRN

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	363LA2200X	Adult Health Nurse Practitioner	26NJ00004400	NJ

General Provider Information

NPI Number	:	1447284559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LEONARD A CEBULA APRN

Provider Business Mailing Address
First Line	:	8 MARSHA DR
Second Line	:
City	:	DELRAN
State	:	NJ
Zip	:	08075-5400
Country	:	US
Telephone Number	:	856-824-0325
Fax Number	:

Provider Business Practice Location Address
First Line	:	309 BRIDGEBORO RD
Second Line	:
City	:	MOORESTOWN
State	:	NJ
Zip	:	08057-1499
Country	:	US
Telephone Number	:	856-439-2069
Fax Number	:	856-439-2078

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	12/07/2025

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