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Organization

LEON M MIELCAREK JR MD PC

Active
Other names
Mielcarek Eye Associates
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LEON M MIELCAREK JR. MD (PRESIDENT)
(610) 566-1227
Entity
Organization

Contact information

Practice address
319 W STATE ST, MEDIA, PA 19063-2615
(610) 566-1227
(610) 566-6888
Mailing address
319 WEST STATE STREET, MEDIA, PA 19063
(610) 566-1227
(610) 566-6888

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD007105E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CB0992
RAILROAD MEDICARE
PA
Enumeration date
12/22/2006
Last updated
05/21/2008
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