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LEONARD DZUBOW MD PC NPI 1568417467


NPI Information

NPI: 1568417467
Provider Name: LEONARD DZUBOW MD PC
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

Address:
101 CHESLEY DR
MEDIA, PA
ZIP 19063
Phone: (484) 621-0082
Get Directions

LEONARD DZUBOW MD PC is a mohs-micrographic surgery dermatology in Media, PA. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. LEONARD DZUBOW MD PC NPI is 1568417467. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 CHESLEY DR
MEDIA, PA
ZIP 19063-761
Phone: (484) 621-0082
Fax: (484) 621-0083

The provider's authorized official is Leonard Dzubow .
The authorized official title is President and has the following contact phone number (484) 621-0082.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 9/13/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0101XDermatologyMOHS-Micrographic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1068817MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIAMEDICARE
2DG8309OTHERPENNSYLVANIAMEDICARE RAILROAD
31471277OTHERPENNSYLVANIABLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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