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Individual

LEONARD H MADOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2222 CHERRY ST, TOLEDO, OH 43608-2673
(419) 251-4534
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35044716
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000127974
ANTHEM
OH
05
0945464
OH
01
220015981
RAILROAD MEDICARE
OH
05
3189249
MI
Enumeration date
07/07/2005
Last updated
06/03/2014
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