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Organization

LEROY B. FLEISCHER, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEROY B FLEISCHER MD (PROPRIETOR)
(610) 353-5840
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD038294E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011091310001
PA
01
010552488
CIGNA
PA
01
080192391
TRAVELERS MEDICARE
PA
01
138042
AETNA
PA
01
173695
BLUE SHIELD
PA
01
2038508001
KEYSTONE
PA
Enumeration date
10/21/2008
Last updated
10/21/2008
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