Individual
LESLIE A LITZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104
(215) 662-6503
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD044477E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015581100001
—
PA
Enumeration date
06/14/2006
Last updated
03/03/2011
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