Organization
PATRICK J. LENAHEN, M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK J LENAHEN M.D. (OWNER)
(215) 482-1141
Entity
Organization
Contact information
Practice address
5735 RIDGE AVE, SUITE 206, PHILADELPHIA, PA 19128-1745
(215) 482-1141
(215) 482-9758
Mailing address
5735 RIDGE AVE, SUITE 206, PHILADELPHIA, PA 19128-1745
(215) 482-1141
(215) 482-9758
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD033940E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00012475210001
—
PA
01
—
MD033940E
MEDICAL LICENSE
PA
Enumeration date
03/30/2007
Last updated
08/05/2010
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