Doctor Name: | RICHARD E LEYMAN |
NPI Number: | 1386646792 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | MA050782 |
Business Practice Address: | 1 Bartol Ave Suite 10 Ridley Park, PA - 190782214 |
Business Phone Number: | 6105210150 |
Business Fax Number: | 6105210567 |
Mailing Address: | 1 Bartol Ave, Suite 10 RIDLEY PARK |
State: | PA |
Postal Code: | 190782214 |
Phone Number: | 6105210150 |
Fax Number: | 6105210567 |
NPI Enumeration Date: | 08/15/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA050782 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |