# PREVENTION CENTER LLC

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

## Provider details

- **NPI number:** 1386048197
- **Authorized official:** DR. LEON GREGORY DE MASI MD (PHYSICIAN)
- **Authorized official phone:** (610) 353-5840

## Contact information

- **Practice address:** 1999 SPROUL RD, SUITE 21, BROOMALL, PA 19008-3508
- **Practice address phone:** (610) 353-5840
- **Practice address fax:** (610) 353-3420
- **Mailing address:** 1999 SPROUL RD, SUITE 21, BROOMALL, PA 19008-3508
- **Mailing address phone:** (610) 353-5840
- **Mailing address fax:** (610) 353-3420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | MD025728E | PA | Yes |

## Other

- **Enumeration date:** 10/22/2014
- **Last updated:** 10/22/2014