Dr. Leonard Mark Dzubow, MD
Dermatology, MOHS-Micrographic Surgery in Media, PA. Individual provider (NPI-1).
NPI number1790778199
StatusActive
Last updated in NPPESDec 17, 2009
Details
- NPI
- 1790778199
- Entity type
- Individual (NPI-1)
- Name
- Dr. Leonard Mark Dzubow
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2005
- Last updated
- Dec 17, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | MD020065E | PA | Yes |
Practice location
101 Chesley DrMedia, PA 19063-1761
Phone 610-566-7846 · Fax 610-891-6735
Mailing address
101 Chesley DrMedia, PA 19063-1761
Phone 610-566-7846 · Fax 610-891-6735
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