Provider Demographics
NPI:1508284050
Name:GERSON, LEIGH F (DO)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:F
Last Name:GERSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1648 HUNTINGDON PIKE
Mailing Address - Street 2:MEDICAL STAFF OFFICE FIRST FLOOR
Mailing Address - City:MEADOWBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19046-0608
Mailing Address - Country:US
Mailing Address - Phone:215-938-3145
Mailing Address - Fax:215-938-3144
Practice Address - Street 1:1650 HUNTINGDON PIKE STE 154
Practice Address - Street 2:
Practice Address - City:MEADOWBROOK
Practice Address - State:PA
Practice Address - Zip Code:19046-8003
Practice Address - Country:US
Practice Address - Phone:215-938-3145
Practice Address - Fax:215-938-3144
Is Sole Proprietor?:No
Enumeration Date:2014-04-02
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS019477208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery