Individual
DR. LEONID I KATOLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
950 PULASKI DR STE 100, KING OF PRUSSIA, PA 19406-2802
(610) 768-5940
(610) 768-5947
Mailing address
950 PULASKI DR STE 100, KING OF PRUSSIA, PA 19406-2802
(610) 768-5940
(610) 768-5947
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD00042609
WA
207X00000X
Orthopaedic Surgery Physician
MD432724
PA
207XS0106X
Orthopaedic Hand Surgery Physician
MD00042609
WA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD432724
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2010586
PENNSYLVANIA BLUE SHIELD
PA
01
—
3321655000
INDEPENDENCE BLUE CROSS
PA
01
—
P00151768
RAILROAD MEDICARE
WA
Enumeration date
06/01/2006
Last updated
06/29/2020
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