Individual
DR. LEON ADLEY ELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
421 MARKET ST, KINGSTON, PA 18704-5442
(570) 283-0220
(570) 283-1707
Mailing address
421 MARKET ST, KINGSTON, PA 18704-5442
(570) 283-0220
(570) 283-1707
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC-001380-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0505757
—
PA
Enumeration date
06/22/2006
Last updated
07/08/2007
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