Provider Demographics
NPI:1902099948
Name:LEOCADIO, DEAN EDWARD (MD, MA)
Entity Type:Individual
Prefix:DR
First Name:DEAN
Middle Name:EDWARD
Last Name:LEOCADIO
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Gender:M
Credentials:MD, MA
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Mailing Address - Street 1:19 BRAMBLE BUSH DR
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-2325
Mailing Address - Country:US
Mailing Address - Phone:508-540-7555
Mailing Address - Fax:508-540-3008
Practice Address - Street 1:19 BRAMBLE BUSH DR
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-2325
Practice Address - Country:US
Practice Address - Phone:508-540-7555
Practice Address - Fax:508-540-3008
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2020-12-11
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Provider Licenses
StateLicense IDTaxonomies
IL036131904208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology