Individual
DR. LEONARD MENAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1628 JOHN F KENNEDY BLVD, SUITE # 2100, PHILADELPHIA, PA 19103-2125
(215) 563-9478
(215) 563-2301
Mailing address
1628 JOHN F KENNEDY BLVD, SUITE # 2100, PHILADELPHIA, PA 19103-2125
(215) 563-9478
(215) 563-2301
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001390L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032689000
PERSONAL CHOICE
PA
01
—
042204HUR
RENDERING PHYSICIAN PIN
PA
01
—
0656649000
AMERIHEALTH
NJ
01
—
090571
NATIONAL GOVERNMENT SERVI
NJ
01
—
ME042204
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/10/2006
Last updated
03/10/2008
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