Organization
PREVENTION CENTER LLC
Active
Organization
PREVENTION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEON GREGORY DE MASI MD (PHYSICIAN)
(610) 353-5840
Entity
Organization
Contact information
Practice address
1999 SPROUL RD, SUITE 21, BROOMALL, PA 19008-3508
(610) 353-5840
(610) 353-3420
Mailing address
1999 SPROUL RD, SUITE 21, BROOMALL, PA 19008-3508
(610) 353-5840
(610) 353-3420
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
MD025728E
PA
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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