Most Relevant Information
Provider Data
| NPI Number: | 1003676719 |
| Provider Name: | ALISON LESLIE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | MT232223 |
Most Important Dates
| Enumeration Date: | 03/20/2024 |
| Last Updated: | 06/10/2024 |
Provider Practice Location
3400 SPRUCE ST
PHILADELPHIA
PA
191044238
Practice Location Phone/Fax
| Phone: | 2156622250 |
| Fax: | 2156153995 |
Provider Mailing Location
3400 SPRUCE ST
PHILADELPHIA
PA
191044238
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |