Provider Demographics
NPI:1861574220
Name:LEUZZI, ROSEMARIE A (MD)
Entity type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:A
Last Name:LEUZZI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:900 CENTENNIAL BLVD
Mailing Address - Street 2:BUILDING 2 SUITE 201
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4689
Mailing Address - Country:US
Mailing Address - Phone:856-325-6770
Mailing Address - Fax:856-673-4300
Practice Address - Street 1:900 CENTENNIAL BLVD
Practice Address - Street 2:BUILDING 2 SUITE 201
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4689
Practice Address - Country:US
Practice Address - Phone:856-325-6770
Practice Address - Fax:856-673-4300
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA076330207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
60014932OtherHORIZON NJ HEALTH
2361783000OtherAMERIHEALTH, KEYSTONE, IBC
1241528OtherUNITED HEALTHCARE
3730101OtherAETNA
NJ7710704Medicaid
944629OtherCIGNA
P3562140OtherOXFORD
42476OtherUNIVERSITY HEALTHPLAN
3730101OtherAETNA
1241528OtherUNITED HEALTHCARE