Provider Demographics
NPI:1447390299
Name:HESS, LESLIE ALAN (DPM)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:ALAN
Last Name:HESS
Suffix:
Gender:M
Credentials:DPM
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Other - Credentials:
Mailing Address - Street 1:300 LEXINGTON RD, BLDG. B SUITE 230
Mailing Address - Street 2:HESS ANKLE & FOOT CENTER
Mailing Address - City:SWEDESBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08085
Mailing Address - Country:US
Mailing Address - Phone:856-241-1880
Mailing Address - Fax:856-241-9986
Practice Address - Street 1:300 LEXINGTON RD, BLDG. B SUITE 230
Practice Address - Street 2:HESS ANKLE & FOOT CENTER
Practice Address - City:SWEDESBORO
Practice Address - State:NJ
Practice Address - Zip Code:08085
Practice Address - Country:US
Practice Address - Phone:856-241-1880
Practice Address - Fax:856-241-9986
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMD01175213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJT73091Medicare UPIN