Provider Demographics
NPI:1437446358
Name:LEIDER, HARRY LOUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:LOUIS
Last Name:LEIDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:300 E LOMBARD ST
Mailing Address - Street 2:SUITE 1610
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-3219
Mailing Address - Country:US
Mailing Address - Phone:443-769-1613
Mailing Address - Fax:443-220-0122
Practice Address - Street 1:300 E LOMBARD ST
Practice Address - Street 2:SUITE 1610
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-3219
Practice Address - Country:US
Practice Address - Phone:443-769-1613
Practice Address - Fax:443-220-0122
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0062311207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine