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Organization

LEUNISSEN & LEUNISSEN P.C.

Active
Other names
Medical Cardiology Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. R. L. ABRAHAM LEUNISSEN M.D. (PRESIDENT)
(610) 566-9122
Entity
Organization

Contact information

Practice address
1078 W. BALTIMORE PIKE, SUITE # 209, MEDIA, PA 19063-5196
(610) 566-9122
(610) 891-7834
Mailing address
1078 W. BALTIMORE PIKE, SUITE # 209, MEDIA, PA 19063-5196
(610) 566-9122
(610) 891-7834

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD032215L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00935159
PA
01
207RC0000X
TAXONOMY CODE
PA
Enumeration date
09/01/2006
Last updated
10/23/2007
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