Individual
DR. LEONARD B NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 PRESIDENTIAL BLVD STE 200, BALA CYNWYD, PA 19004-1108
(484) 434-2700
(610) 660-0419
Mailing address
100 PRESIDENTIAL BLVD STE 200, BALA CYNWYD, PA 19004-1108
(484) 434-2700
(610) 660-0419
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25MA04991900
NJ
207W00000X
Ophthalmology Physician
Primary
MD025037E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000790768-0001
—
PA
05
—
000790768-0003
—
PA
Enumeration date
02/13/2006
Last updated
11/03/2020
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