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Dr. Leon Edmund Gosciniak, DO
General Practice Physician in Croydon, Pennsylvania
NPI 1700820040

Leon Edmund Gosciniak is a General Practice Physician based in Croydon, PA. Leon Edmund Gosciniak practices in Croydon, PA and has the professional credentials of DO. The NPI Number for Leon Edmund Gosciniak is 1700820040 and holds a License No. OS004147L (Pennsylvania).

The current practice location address for Leon Edmund Gosciniak is 705 State Rd, Croydon, PA and can be reached out via phone at 215-785-3300 and via fax at 215-785-0818.

Location: 705 State Rd, Croydon, PA, 19021-7446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700820040
Provider Name
Leon Edmund Gosciniak
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
705 State Rd, Croydon, PA, 19021-7446
Phone Number
215-785-3300
Fax Number
215-785-0818
Provider Enumeration Date
06/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000675962 05 PA
institution
Provider Business Practice Location Address Details
Address
705 State Rd
City
Croydon
State
Pennsylvania
Zip
19021-7446
Phone Number
215-785-3300
Fax Number
215-785-0818
person
Provider Business Mailing Address Details
Address
705 State Rd
City
Croydon
State
Pennsylvania
Zip
19021-7446
Phone Number
215-785-3300
Fax Number
215-785-0818
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
OS004147L (Pennsylvania)
Definition
Definition to come...
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