Organization
LEONARD REICHMAN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANTON M BRAID D.M.D. (PRESIDENT)
(215) 735-6241
Entity
Organization
Contact information
Practice address
1521 LOCUST ST, SUITE 600, PHILA, PA 19102-3727
(215) 735-6241
(215) 735-6242
Mailing address
1521 LOCUST ST, SUITE 600, PHILA, PA 19102-3727
(215) 735-6241
(215) 735-6242
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS018002L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005238080001
—
PA
Enumeration date
07/17/2006
Last updated
06/13/2016
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