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Individual

DR. LESLIE N SUTTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA, PHILADELPHIA, PA 19104
(215) 590-2780
(215) 590-4809
Mailing address
100 EAST PENN SQUARE, THE WANAMAKER BUILDING 9TH FL, PHILADELPHIA, PA 19107-3323
(267) 425-9538
(267) 425-9552

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD018318E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000804059
PA
Enumeration date
10/12/2006
Last updated
04/12/2013
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