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Individual
LEONARD M MALAMUD
Active
Individual
LEONARD M MALAMUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS004622L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008981710001
—
PA
01
—
0022672000
KEYSTONE IBC
PA
05
—
100398
—
PA
01
—
184188
HIGHMARK BLUE SHIELD
PA
01
—
22110OS004622L
HEALTH PARTNERS
PA
01
—
30071625
KEYSTONE MERCY
PA
01
—
98932
AETNA HMO
PA
Enumeration date
01/20/2006
Last updated
04/21/2011
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