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Individual
LEONARD H MADOFF
Active
Individual
LEONARD H MADOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35044716
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000127974
ANTHEM
OH
05
—
0945464
—
OH
01
—
220015981
RAILROAD MEDICARE
OH
05
—
3189249
—
MI
Enumeration date
07/07/2005
Last updated
06/03/2014
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