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Organization
LEONARD HALTRECHT
Active
Organization
LEONARD HALTRECHT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE CASEY (BILLING COORDINATOR)
(610) 353-5840
Entity
Organization
Contact information
Practice address
1999 SPROUL RD, STE 21, BROOMALL, PA 19008-3508
(610) 353-5840
Mailing address
1999 SPROUL RD, STE 21, BROOMALL, PA 19008-3508
(610) 353-5840
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS002378L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007336180001
—
PA
01
—
0032051001
KEYSTONE
PA
01
—
015630208
RAILROAD MEDICARE
PA
01
—
041839
BLUE SHIELD
PA
01
—
232187546
CIGNA
PA
01
—
6548
AETNA
PA
Enumeration date
07/13/2006
Last updated
08/14/2008
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