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Organization
MAMERTO M LEBITA AND FUZEN CHANG PTRS
Active
Organization
MAMERTO M LEBITA AND FUZEN CHANG PTRS
Active
Other names
Chang and Lebita MDs
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAKAMBINI D. RECLA MD (PEDIATRICIAN)
(610) 459-2373
Entity
Organization
Contact information
Practice address
5904 CHICHESTER AVE, ASTON, PA 19014-2327
(610) 459-2373
(610) 874-1337
Mailing address
5904 CHICHESTER AVE, ASTON, PA 19014-2327
(610) 459-2373
(610) 874-1337
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD028559E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD059221L
LICENSE NUMBER
PA
Enumeration date
09/29/2010
Last updated
09/29/2010
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