Mara Leyzin in Philadelphia - Adolescent Medicine
Mara Leyzin - NPI 1003992579
Mara Leyzin is a Adolescent Medicine in Philadelphia, Pennsylvania. Mara Leyzin practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Mara Leyzin is 1003992579. The last update date is 2012-12-11.
Mara Leyzin's current location address is 8025 Castor Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157459900 and fax number 2157459902. The mailing address for Mara Leyzin is 8025 Castor Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mara Leyzin |
|---|---|
| Address | 8025 Castor Ave, Philadelphia, Pennsylvania |
| Phone Number | 2157459900 |
| Fax Number | 2157459902 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1003992579 |
|---|---|
| Provider Enumeration Date | 2006-10-27 |
| Last Updated Date | 2012-12-11 |
Provider Mailing Address Detail
| Address | 8025 Castor Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191522733 |
| Phone Number | 2157459900 |
| Fax Number | 2157459902 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 207Qa0000X |
| Licence No | MD032043E |
|
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1153363 | PA | -- |
Post Comment/ Review Below
What is the Mara Leyzin's unique identification number?
The Mara Leyzin has been assigned the NPI (National Provider Identifier) Number 1003992579 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Mara Leyzin's facilities are geographically located?
The facilities of Mara Leyzin are physically situated at the following location: 8025 Castor Ave, Philadelphia, PA, 191522733.
What is the Mara Leyzin's specialty and taxonomy code?
The Mara Leyzin's specialty is Adolescent Medicine, and the corresponding taxonomy code is 207Qa0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1003992579 to Mara Leyzin?
The Mara Leyzin received its 1003992579 assignment from the Centers for Medicare & Medicaid Services on 2006-10-27.
When was the information regarding Mara Leyzin most recently updated?
The details pertaining to the Mara Leyzin, including its address, specialty, and other relevant information, were last refreshed on 2012-12-11.
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