institution
Leon E. Gosciniak D.o.,p.c.
General Practice Physician in Croydon, Pennsylvania
NPI 1881814580

Leon E. Gosciniak D.o.,p.c. is a General Practice Physician based in Croydon, PA. Leon E. Gosciniak D.o.,p.c. practices in Croydon, PA. The NPI Number for Leon E. Gosciniak D.o.,p.c. is 1881814580 and holds a License No. OS004147L (Pennsylvania).

The current practice location address for Leon E. Gosciniak D.o.,p.c. 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
institution
Provider Profile Details
NPI Number
1881814580
Provider Name
Leon E. Gosciniak D.o.,p.c.
Credential
Provider Entity Type
Organization
Address
705 State Rd, Croydon, PA, 19021-7446
Phone Number
215-785-3300
Fax Number
215-785-0818
Provider Enumeration Date
04/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0022558001 01 PA KEYSTONE HEALTH PLAN EAST
165839 01 PA INDEPENDENCE BLUE CROSS
165839 01 PA HIGHMARK BLUE SHIELD
1700820040 01 PA NPI PROVIDER NUMBER
0022558001 01 PA AMERIHEALTH INS.CO.N.J.
0022558001 01 PA PERSONAL CHOICE
0022558001 01 PA AMERIHEALTH HMO N.J.
000675962003 05 PA
institution
Provider Business Practice Location Address Details
Address
705 State Rd
City
State
Zip
19021-7446
Phone Number
215-785-3300
Fax Number
215-785-0818
person
Provider Business Mailing Address Details
Address
705 State Rd
City
State
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
License No.
OS004147L (Pennsylvania)
Definition
Definition to come...
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