Individual
EDWARD C LEONARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4641 ROOSEVELT BLVD, PHILADELPHIA, PA 19124
(215) 831-4700
Mailing address
4641 ROOSEVELT BLVD, PHILADELPHIA, PA 19124
(215) 831-4700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD008337E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0056096000
PERSONAL CHOICE
—
01
—
019338
BLUE SHIELD
PA
Enumeration date
02/21/2007
Last updated
07/08/2007
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