Provider Demographics
NPI:1811233679
Name:LEIBOWITZ, ARTHUR NEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:NEIL
Last Name:LEIBOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 KNIGHTSBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-1212
Mailing Address - Country:US
Mailing Address - Phone:610-642-1978
Mailing Address - Fax:
Practice Address - Street 1:120 KNIGHTSBRIDGE RD
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-1212
Practice Address - Country:US
Practice Address - Phone:610-642-1978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-26
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD014627E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics