Individual
ELLIOTT G LEISAWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 GRINGS HILL RD, READING, PA 19608-8844
(610) 898-5030
(610) 777-3474
Mailing address
50 COMMERCE DR, WYOMISSING, PA 19610-3335
(610) 372-8044
(610) 371-0310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD015371E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000715191
—
PA
Enumeration date
12/20/2006
Last updated
03/30/2012
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