# S W LEEHAN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184768749
- **Authorized official:** DR. SEAN W LEEHAN M.D. (PRESIDENT)
- **Authorized official phone:** (412) 653-9515

## Contact information

- **Practice address:** 455 E BRUCETON RD, SUITE 4, PITTSBURGH, PA 15236-4538
- **Practice address phone:** (412) 653-9515
- **Practice address fax:** (412) 653-9520
- **Mailing address:** 455 E BRUCETON RD, SUITE 4, PITTSBURGH, PA 15236-4538
- **Mailing address phone:** (412) 653-9515
- **Mailing address fax:** (412) 653-9520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD040686E | PA | Yes |

## Other

- **Enumeration date:** 02/16/2007
- **Last updated:** 03/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1019226400001 | — | PA |
| 01 | — | DF9467 | RR MEDICARE | PA |