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Individual

LEONID MAGIDENKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
518 BUSTLETON PIKE FL 1, FEASTERVILLE TREVOSE, PA 19053-6035
(215) 464-6040
(215) 464-6046
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD056532L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018355880001
PA
Enumeration date
04/13/2006
Last updated
01/27/2026
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