Individual
LEA TUZOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3050
Mailing address
2400 CHESTNUT ST, APARTMENT 406, PHILADELPHIA, PA 19103-4316
(215) 707-3050
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MT187987
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
910990484
TUID NUMBER
PA
Enumeration date
03/31/2009
Last updated
03/31/2009
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