Provider Demographics
NPI:1700050226
Name:LEOMPORRA, REMO B P (MD)
Entity Type:Individual
Prefix:
First Name:REMO
Middle Name:B P
Last Name:LEOMPORRA
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 1:2607 BARTON CT
Mailing Address - Street 2:
Mailing Address - City:CINNAMINSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08077-4042
Mailing Address - Country:US
Mailing Address - Phone:856-829-8088
Mailing Address - Fax:856-829-4999
Practice Address - Street 1:2607 BARTON CT
Practice Address - Street 2:
Practice Address - City:CINNAMINSON
Practice Address - State:NJ
Practice Address - Zip Code:08077-4042
Practice Address - Country:US
Practice Address - Phone:856-829-8088
Practice Address - Fax:856-829-4999
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-16
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA01921200207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology