Doctor Name: | DR. LEONARD A WINEGRAD |
NPI Number: | 1770589087 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | OS002463L |
Business Practice Address: | 221 Davisville Rd Willow Grove, PA - 190903332 |
Business Phone Number: | 2156598967 |
Business Fax Number: | |
Mailing Address: | 221 Davisville Rd, WILLOW GROVE |
State: | PA |
Postal Code: | 190903332 |
Phone Number: | 2156598967 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS002463L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |