1447390299 NPI number — DR. LESLIE ALAN HESS DPM

Table of content: DR. LESLIE ALAN HESS DPM (NPI 1447390299)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447390299 NPI number — DR. LESLIE ALAN HESS DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HESS
Provider First Name:
LESLIE
Provider Middle Name:
ALAN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DPM
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447390299
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/05/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 LEXINGTON RD, BLDG. B SUITE 230
Provider Second Line Business Mailing Address:
HESS ANKLE & FOOT CENTER
Provider Business Mailing Address City Name:
SWEDESBORO
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08085
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-241-1880
Provider Business Mailing Address Fax Number:
856-241-9986

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 LEXINGTON RD, BLDG. B SUITE 230
Provider Second Line Business Practice Location Address:
HESS ANKLE & FOOT CENTER
Provider Business Practice Location Address City Name:
SWEDESBORO
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08085
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-241-1880
Provider Business Practice Location Address Fax Number:
856-241-9986
Provider Enumeration Date:
02/08/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  MD01175 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)