Individual
DR. LESLIE TADZYNSKI SHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
540 TELNER ST, PHILADELPHIA, PA 19118-4214
(215) 248-4477
(215) 248-2110
Mailing address
540 TELNER ST, PHILADELPHIA, PA 19118-4214
(215) 248-4477
(215) 248-2110
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MB04452600
NJ
208000000X
Pediatrics Physician
Primary
OS004602L
PA
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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