| Doctor Name: | MR. LEONARD DUBAS |
| NPI Number: | 1386019164 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 13VH08289200 |
| Business Practice Address: | 79 Poplar Dr Richboro, PA - 189541645 |
| Business Phone Number: | 6572172337 |
| Business Fax Number: | 2155047414 |
| Mailing Address: | 79 Poplar Dr, RICHBORO |
| State: | PA |
| Postal Code: | 189541645 |
| Phone Number: | 6572172337 |
| Fax Number: | 2155047414 |
| NPI Enumeration Date: | 12/05/2015 |
| NPI Last Update Date: | 12/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171WH0202X |
| License Number: | 13VH08289200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Contractor |
| Taxonomy Specialization: | Home Modifications |
| Taxonomy Definition: | |