Provider Demographics
NPI:1588124028
Name:HALL, LEANGELO N (MD)
Entity type:Individual
Prefix:MR
First Name:LEANGELO
Middle Name:N
Last Name:HALL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1140 WHITE HORSE ROAD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-2106
Mailing Address - Country:US
Mailing Address - Phone:856-784-3366
Mailing Address - Fax:856-784-4388
Practice Address - Street 1:1140 WHITE HORSE ROAD
Practice Address - Street 2:SUITE 1
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-2106
Practice Address - Country:US
Practice Address - Phone:856-784-3366
Practice Address - Fax:856-784-4388
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2024-08-19
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA12222700207W00000X
PAMD480960207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology