NPIMap

Leon E. Gosciniak D.O.,P.C.

Organization Active NPI General Practice Physician · Croydon, PA

NPI 1881814580 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1881814580
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
License
OS004147L (PA)
Legal business name
LEON E. GOSCINIAK D.O.,P.C.
Practice address
705 State Rd
Croydon, PA 19021-7446
Phone
(215) 785-3300
Fax
(215) 785-0818
NPI assigned
Apr 26, 2007
Organization subpart
No

Authorized official

Name
Dr. Leon E Gosciniak, D.O.
Title
President
Phone
(215) 785-3300

National Provider Directory

Locations

705 State Rd
Croydon, PA 19021
Phone (215) 785-3300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208D00000X OS004147L PA Yes

Addresses

Primary practice location

705 State Rd
Croydon, PA 19021-7446

Mailing address

705 State Rd
Croydon, PA 19021-7446
Phone (215) 785-3300

Other identifiers

IdentifierTypeStateIssuer
0022558001OtherPAKEYSTONE HEALTH PLAN EAST
165839OtherPAINDEPENDENCE BLUE CROSS
165839OtherPAHIGHMARK BLUE SHIELD
1700820040OtherPANPI PROVIDER NUMBER
0022558001OtherPAAMERIHEALTH INS.CO.N.J.
0022558001OtherPAPERSONAL CHOICE
0022558001OtherPAAMERIHEALTH HMO N.J.
000675962003MedicaidPA

Other providers in Croydon, PA

All providers in Croydon, PA · General Practice Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.