Organization
COLON AND RECTAL SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J LESCHER M.D. (PRESIDENT)
(954) 772-4553
Entity
Organization
Contact information
Practice address
1960 NE 47TH ST, STE 102, FT LAUDERDALE, FL 33308-7708
(954) 772-4553
(954) 771-2372
Mailing address
1960 NE 47TH ST, STE 102, FT LAUDERDALE, FL 33308-7708
(954) 772-4553
(954) 771-2372
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME31566
FL
208C00000X
Colon & Rectal Surgery Physician
Primary
ME31566
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24917
BCBS
FL
01
—
CF7517
RAILROAD RETIREMENT
FL
Enumeration date
12/14/2005
Last updated
10/16/2008
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