Individual
JONATHON LEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141
(215) 456-6679
(215) 456-8502
Mailing address
PO BOX 8500-8735, PHILADELPHIA, PA 19178-0001
(215) 456-7000
(215) 456-5926
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD054358L
PA
Other
Enumeration date
03/24/2006
Last updated
03/17/2014
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