| NPI | 1922351360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARA LEYZIN President/Solo Practitioner 215-745-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD-032043-E) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |