Individual
DR. LEILA MBAZOGHO NDONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 5 MALONEY, PHILADELPHIA, PA 19104
(215) 662-3797
Mailing address
3400 SPRUCE STREET, 5 MALONEY, PHILADELPHIA, PA 19104
(215) 662-3797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD459056
PA
208M00000X
Hospitalist Physician
Primary
MD459056
PA
Other
Enumeration date
07/01/2009
Last updated
11/03/2016
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