Provider Demographics
NPI:1255480380
Name:LEON H. VENIER, M.D., LTD.
Entity Type:Organization
Organization Name:LEON H. VENIER, M.D., LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:VENIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-927-9366
Mailing Address - Street 1:2209 QUARRY DR
Mailing Address - Street 2:SUITE B-24
Mailing Address - City:WEST LAWN
Mailing Address - State:PA
Mailing Address - Zip Code:19609-1155
Mailing Address - Country:US
Mailing Address - Phone:610-927-9366
Mailing Address - Fax:610-927-9368
Practice Address - Street 1:2209 QUARRY DR
Practice Address - Street 2:SUITE B-24
Practice Address - City:WEST LAWN
Practice Address - State:PA
Practice Address - Zip Code:19609-1155
Practice Address - Country:US
Practice Address - Phone:610-927-9366
Practice Address - Fax:610-927-9368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD011237E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02331300OtherCAPITAL BLUE CROSS
PA0989087000OtherINDEPENDENCE BLUE CROSS
PA019924Medicare ID - Type Unspecified
PA02331300OtherCAPITAL BLUE CROSS