Provider Demographics
NPI:1003184482
Name:LESCHEK, ELLEN WERBER (MD)
Entity Type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:WERBER
Last Name:LESCHEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ELLEN
Other - Middle Name:DARYL
Other - Last Name:WERBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6707 DEMOCRACY BOULEVARD, ROOM 603
Mailing Address - Street 2:NATIONAL INSTITUTES OF HEALTH/NATIONAL INSTITUTE OF DIA
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892
Mailing Address - Country:US
Mailing Address - Phone:301-402-8291
Mailing Address - Fax:301-480-3503
Practice Address - Street 1:9000 ROCKVILLE PIKE
Practice Address - Street 2:NATIONAL INSTITUTES OF HEALTH - CLINICAL CENTER, PEDIAT
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892
Practice Address - Country:US
Practice Address - Phone:301-451-9229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00478662080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology