| Mara Leyzin, Md, Pc | |
|
8025 Castor Ave Phila PA 19152-2733 | |
| (215) 745-9900 | |
| (215) 745-9902 |
| Full Name | Mara Leyzin, Md, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 8025 Castor Ave, Phila, Pennsylvania |
| Authorized Official Name and Position | Mara Leyzin (PRESIDENT/SOLO PRACTITIONER) |
| Authorized Official Contact | 2157459900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mara Leyzin, Md, Pc 8025 Castor Ave Phila PA 19152-2733 Ph: (215) 745-9900 | Mara Leyzin, Md, Pc 8025 Castor Ave Phila PA 19152-2733 Ph: (215) 745-9900 |
| NPI Number | 1922351360 |
|---|---|
| Provider Enumeration Date | 10/23/2012 |
| Last Update Date | 10/23/2012 |
| Medicare PECOS PAC ID | 1153576061 |
|---|---|
| Medicare Enrollment ID | O20130226000501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922351360 | NPI | - | NPPES |
| 102634086000 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD-032043-E (Pennsylvania) | Primary |
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