Provider Demographics
NPI:1881641413
Name:MONTGOMERY COUNTY GI SPECIALISTS
Entity Type:Organization
Organization Name:MONTGOMERY COUNTY GI SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD PHD
Authorized Official - Phone:610-630-6888
Mailing Address - Street 1:700 W GERMANTOWN PIKE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19403-4273
Mailing Address - Country:US
Mailing Address - Phone:610-630-6888
Mailing Address - Fax:610-630-6940
Practice Address - Street 1:700 W GERMANTOWN PIKE
Practice Address - Street 2:SUITE 101
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19403-4273
Practice Address - Country:US
Practice Address - Phone:610-630-6888
Practice Address - Fax:610-630-6940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA177389Medicare ID - Type Unspecified