Organization
LEONARD DZUBOW AMBULATORY SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD MARK DZUBOW MD (PRESIDENT)
(484) 621-0082
Entity
Organization
Contact information
Practice address
101 CHESLEY DR, MEDIA, PA 19063-1761
(484) 621-0082
(484) 621-0083
Mailing address
101 CHESLEY DR, MEDIA, PA 19063-1761
(484) 621-0082
(484) 621-0083
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
16731501
PA
Other
Enumeration date
08/31/2005
Last updated
06/11/2014
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