Individual
NICK C LEASURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
S 6TH AVENUE & SPRUCE ST, TRHMC REGIONAL CANCER CENTER N GROUND, WEST READING, PA 19611
(610) 374-4404
(610) 374-1396
Mailing address
PO BOX 16052, READING, PA 19612-6052
(610) 374-4404
(610) 374-1396
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD032114E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011250820003
—
PA
01
—
01433301
BLUE CROSS
PA
01
—
038219
HIGHMARK BLUE SHIELD
PA
01
—
110039797
RAILROAD MEDICARE
—
01
—
128101
UNISON
—
01
—
20010538
AMERIHEALTH MERCY
—
Enumeration date
05/17/2006
Last updated
02/03/2010
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