| Jeanes Family Practice - Mara Leyzin, Md | |
|
8025 Castor Ave Phila PA 19152-2733 | |
| (215) 745-9900 | |
| (215) 745-9902 |
| Full Name | Jeanes Family Practice - Mara Leyzin, Md |
|---|---|
| Speciality | Family Medicine - Adolescent Medicine |
| Location | 8025 Castor Ave, Phila, Pennsylvania |
| Authorized Official Name and Position | Eric Mankin (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2159269050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanes Family Practice - Mara Leyzin, Md Po Box 820933 Phila PA 19182-0933 Ph: (215) 926-9010 | Jeanes Family Practice - Mara Leyzin, Md 8025 Castor Ave Phila PA 19152-2733 Ph: (215) 745-9900 |
| NPI Number | 1497904049 |
|---|---|
| Provider Enumeration Date | 09/18/2008 |
| Last Update Date | 09/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497904049 | NPI | - | NPPES |
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