Provider Demographics
NPI:1518923796
Name:DE MASI, LEON GREGORY (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:LEON
Middle Name:GREGORY
Last Name:DE MASI
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
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Mailing Address - Street 1:14 CEDAR HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:ROSE VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19086-6719
Mailing Address - Country:US
Mailing Address - Phone:610-627-1015
Mailing Address - Fax:610-627-1290
Practice Address - Street 1:1999 SPROUL RD
Practice Address - Street 2:SUITE 21
Practice Address - City:BROOMALL
Practice Address - State:PA
Practice Address - Zip Code:19008-3508
Practice Address - Country:US
Practice Address - Phone:610-353-5840
Practice Address - Fax:610-353-3420
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA050892002083P0901X
PAMD025728E2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine