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Individual

LEON JAY REZNIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
5000 FRANKFORD AVE, SUITE 2, PHILA, PA 19124-2620
(215) 533-0632
(215) 831-1494
Mailing address
5000 FRANKFORD AVE, SUITE 2, PHILA, PA 19124-2620
(215) 533-0632
(215) 831-1494

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC002489L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0859128
PA
Enumeration date
06/15/2006
Last updated
07/17/2008
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