Mary Ann Leary in Conshohocken - Family Medicine

Mary Ann Leary - NPI 1104810860

Mary Ann Leary is a Family Medicine in Conshohocken, Pennsylvania. Mary Ann Leary practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mary Ann Leary is 1104810860. The last update date is 2008-03-25.

Mary Ann Leary's current location address is 1 W Elm St, Conshohocken, Pennsylvania. You can contact this provider via phone number 6105676967 and fax number 6105676955. The mailing address for Mary Ann Leary is 1 W Elm St, Conshohocken, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Ann Leary
Address 1 W Elm St, Conshohocken, Pennsylvania
Phone Number 6105676967
Fax Number 6105676955
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1104810860
Provider Enumeration Date 2005-09-08
Last Updated Date 2008-03-25

Provider Mailing Address Detail

Address 1 W Elm St
City Conshohocken
State Pennsylvania (PA)
Post Code 194282007
Phone Number 6105676967
Fax Number 6105676955

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No OS008302L
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
15040010005 PA --

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FAQs about Mary Ann Leary

What is the unique 10-digit identifier code issued to Mary Ann Leary by the Centers for Medicare & Medicaid Services?

The Mary Ann Leary has been assigned the NPI (National Provider Identifier) 1104810860 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Mary Ann Leary's physical address?

The Mary Ann Leary is physically located at 1 W Elm St, in the city of Conshohocken, PA, with the postal code 194282007.

What is Mary Ann Leary's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mary Ann Leary is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1104810860 to Mary Ann Leary?

The Mary Ann Leary received its 1104810860 assignment from the Centers for Medicare & Medicaid Services on 2005-09-08.

As of what date were the details related to Mary Ann Leary most recently updated or revised?

The information pertaining to Mary Ann Leary, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-25.

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