Provider Demographics
NPI:1952643314
Name:AUSSPRUNG, H. LEON III (MD)
Entity Type:Individual
Prefix:DR
First Name:H.
Middle Name:LEON
Last Name:AUSSPRUNG
Suffix:III
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 1:4619 WELDIN RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-4825
Mailing Address - Country:US
Mailing Address - Phone:215-915-0374
Mailing Address - Fax:888-800-5731
Practice Address - Street 1:4619 WELDIN RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-4825
Practice Address - Country:US
Practice Address - Phone:215-915-0374
Practice Address - Fax:888-800-5731
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-25
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0004012208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics