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Individual

DR. JOHN P. LEICHNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10900 KNIGHTS RD, PHILADELPHIA, PA 19154-4210
(215) 632-0693
(215) 637-1681
Mailing address
10900 KNIGHTS RD, PHILADELPHIA, PA 19154-4210
(215) 632-0693
(215) 637-1681

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD023910E
PA
208600000X
Surgery Physician
Primary
MD023910E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007187560005
PA
Enumeration date
06/15/2006
Last updated
05/12/2025
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