Individual
MATTHEW LEATHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3400 SPRUCE ST, 2 DULLES, PHILADELPHIA, PA 19104-4206
(215) 662-7320
(215) 349-5917
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 662-7320
(215) 349-5917
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
OS023668
PA
Other
Enumeration date
03/07/2013
Last updated
12/24/2025
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