MEDICARE: DR. LESLIE HOWARD SOBIN MD

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
1	207ZP0101X	Anatomic Pathology Physician	MD034257	DC

General Provider Information

NPI Number	:	1821073255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LESLIE HOWARD SOBIN MD

Provider Business Mailing Address
First Line	:	8403 COLESVILLE RD
Second Line	:	SUITE 1600
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-6331
Country	:	US
Telephone Number	:	877-234-7522
Fax Number	:	804-836-1389

Provider Business Practice Location Address
First Line	:	8403 COLESVILLE RD
Second Line	:	SUITE 1600
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-6331
Country	:	US
Telephone Number	:	877-234-7522
Fax Number	:	804-836-1389

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	12/18/2009

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