Provider Demographics
NPI:1679512883
Name:HOPKINS, LEIGH (MD)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:500 GROVE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HADDON HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:08035-1761
Mailing Address - Country:US
Mailing Address - Phone:856-796-9255
Mailing Address - Fax:856-796-9397
Practice Address - Street 1:1 BRACE RD
Practice Address - Street 2:SUITE B
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-2624
Practice Address - Country:US
Practice Address - Phone:856-470-9029
Practice Address - Fax:856-428-4053
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MAO7304400207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8708801Medicaid
NJF79467Medicare UPIN
NJ052658C04Medicare PIN