Individual
MR. LEON EDWARD CUSHENBERRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3535 MARKET ST, PHILADELPHIA, PA 19104
(215) 746-7222
Mailing address
3535 MARKET ST, PHILADELPHIA, PA 19104-3309
(215) 386-3838
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD464647
PA
Other
Enumeration date
08/20/2012
Last updated
08/16/2018
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