Individual
DR. BRUNI LEKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
11410 BUSTLETON AVE, PHILADELPHIA, PA 19116-2809
(215) 698-6133
(215) 698-6144
Mailing address
11410 BUSTLETON AVE, PHILADELPHIA, PA 19116-2809
(215) 698-6133
(215) 698-6144
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
SC006479
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006479
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710335476
NPI
PA
Enumeration date
06/25/2013
Last updated
11/13/2019
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