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Individual

DR. THOMAS P. LEONARD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1030 ARCH ST, 1ST FL, PHILADELPHIA, PA 19107-3011
(215) 592-8111
(215) 592-0758
Mailing address
759 HADDON AVE, COLLINGSWOOD, NJ 08108-3714
(856) 858-1264

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE6131T
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OE6131T
STATE LICENSE
PA
Enumeration date
03/17/2006
Last updated
07/08/2007
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