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Individual
DR. LEONARD D MAZEFSKY
Active
Individual
DR. LEONARD D MAZEFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC001741L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000505630
—
PA
01
—
100435
BLUE SHIELD
—
01
—
102095
UPMC HEALTH PLAN
—
01
—
1034770
GATEWAY HEALTH PLAN
—
01
—
4021368
AETNA
—
01
—
480021580
RAILROAD MEDICARE
—
Enumeration date
07/07/2006
Last updated
04/14/2014
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