# LEON E. GOSCINIAK D.O.,P.C.

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

## Provider details

- **NPI number:** 1881814580
- **Authorized official:** DR. LEON E GOSCINIAK D.O. (PRESIDENT)
- **Authorized official phone:** (215) 785-3300

## Contact information

- **Practice address:** 705 STATE RD, CROYDON, PA 19021-7446
- **Practice address phone:** (215) 785-3300
- **Practice address fax:** (215) 785-0818
- **Mailing address:** 705 STATE RD, CROYDON, PA 19021-7446
- **Mailing address phone:** (215) 785-3300
- **Mailing address fax:** (215) 785-0818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | OS004147L | PA | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000675962003 | — | PA |
| 01 | — | 0022558001 | AMERIHEALTH HMO N.J. | PA |
| 01 | — | 165839 | INDEPENDENCE BLUE CROSS | PA |
| 01 | — | 1700820040 | NPI PROVIDER NUMBER | PA |