Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | D77173 | MD |
NPI | 1134418536 |
---|---|
Provider Name | Dr. Madeline Leong |
First Address | Chevy Chase, MD 20815-3157 |
Second Address | Baltimore, MD 21224-2735 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2011 |
Last Update Date | 28/10/2020 |