Individual
DR. LEANDRO NICOLAS SLIPCZUK BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(800) 346-7834
Mailing address
1516 PINE ST, PHILADELPHIA, PA 19102-4604
(267) 455-2717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT196711
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD457092
PA
Other
Enumeration date
07/08/2010
Last updated
03/17/2017
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