Individual
DR. SHERMAN NELSON LEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
19 MONTGOMERY AVE, BALA CYNWYD, PA 19004
(610) 667-1888
(610) 664-3182
Mailing address
19 MONTGOMERY AVE, BALA CYNWYD, PA 19004
(610) 667-1888
(610) 664-3182
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
OS002485L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060366
—
PA
Enumeration date
09/28/2006
Last updated
07/08/2007
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