Individual
DR. LESLIE BARBARA MAYRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2230 COTTMAN AVE, HEALTH CARE CENTER #10, PHILADELPHIA, PA 19149-1230
(215) 685-0639
(215) 725-4877
Mailing address
500 S BROAD ST, SUITE 360, PHILADELPHIA, PA 19146-1613
(215) 685-6769
(215) 685-6732
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD032149E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011336100008
—
PA
Enumeration date
08/14/2006
Last updated
02/12/2015
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