Individual
OLEG LEONTIEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 SPRUCE STREET, PHILADELPHIA, PA 19107-6130
(484) 431-5897
Mailing address
491 ALLENDALE RD, STE 104, KING OF PRUSSIA, PA 19406-1430
(484) 431-5897
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA10304300
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MD443266
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028640680001
—
PA
Enumeration date
07/14/2008
Last updated
11/18/2024
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