Individual
RAY EDWARD LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 E LEHIGH AVE, PHILADELPHIA, PA 19125-1012
(215) 707-1200
Mailing address
1420 LOCUST ST APT 12B, PHILADELPHIA, PA 19102-4208
(201) 264-4253
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MT216657
PA
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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