Individual
DR. LEONARD IRA GANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
605 SHARON RD, BEAVER, PA 15009-1919
(724) 773-4502
(724) 770-7906
Mailing address
605 SHARON RD, BEAVER, PA 15009-1919
(724) 773-4502
(724) 770-7906
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD061307L
PA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD061307L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016498780013
—
PA
Enumeration date
05/24/2006
Last updated
09/16/2015
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