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NPI Code Detail

MEDICARE: DR. LEONARD JULIAN MOLCZAN JR. D.C.

MEDICARE:  DR. LEONARD JULIAN MOLCZAN JR. D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC-007614-LPA

General Provider Information

NPI Number : 1285673020
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEONARD JULIAN MOLCZAN JR. D.C.
Provider Business Mailing Address
First Line : 33 S 3RD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19106-2814
Country : US
Telephone Number : 215-928-9171
Fax Number : 215-928-9172
Provider Business Practice Location Address
First Line : 33 S 3RD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19106-2814
Country : US
Telephone Number : 215-928-9171
Fax Number : 215-928-9172
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 07/08/2007

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Directions to “ DR. LEONARD JULIAN MOLCZAN JR. D.C.” Practice Location

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