Organization
LEON E. GOSCINIAK D.O.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEON E GOSCINIAK D.O. (PRESIDENT)
(215) 785-3300
Entity
Organization
Contact information
Practice address
705 STATE RD, CROYDON, PA 19021-7446
(215) 785-3300
(215) 785-0818
Mailing address
705 STATE RD, CROYDON, PA 19021-7446
(215) 785-3300
(215) 785-0818
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS004147L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000675962003
—
PA
01
—
0022558001
KEYSTONE HEALTH PLAN EAST
PA
01
—
165839
INDEPENDENCE BLUE CROSS
PA
01
—
1700820040
NPI PROVIDER NUMBER
PA
Enumeration date
04/26/2007
Last updated
08/22/2020
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