Provider Demographics
NPI:1114264413
Name:STRELETZ, LEOPOLD JOHANN (MD)
Entity Type:Individual
Prefix:DR
First Name:LEOPOLD
Middle Name:JOHANN
Last Name:STRELETZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 ORIENTE AVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19807-2261
Mailing Address - Country:US
Mailing Address - Phone:302-482-3539
Mailing Address - Fax:
Practice Address - Street 1:1000 ASYLUM AVE STE 2112
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-1719
Practice Address - Country:US
Practice Address - Phone:860-522-3711
Practice Address - Fax:860-493-7445
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-08
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01090963A2084N0400X, 2084N0600X
PAMD012367E2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology