Provider Demographics
NPI:1356382584
Name:LESKOWITZ, STEVEN C (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:C
Last Name:LESKOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1095 RYDAL RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RYDAL
Mailing Address - State:PA
Mailing Address - Zip Code:19046-1711
Mailing Address - Country:US
Mailing Address - Phone:267-620-1100
Mailing Address - Fax:215-572-1279
Practice Address - Street 1:1095 RYDAL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:RYDAL
Practice Address - State:PA
Practice Address - Zip Code:19046-1711
Practice Address - Country:US
Practice Address - Phone:267-620-1100
Practice Address - Fax:215-572-1279
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD034347L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA231937219OtherMULTIPLAN
PA000450112OtherAMERIHEALTH
PA1150625OtherKEYSTONE MERCY
PA14617OtherHEALTH PARTNERS
PA011050700006Medicaid
PA231937219OtherDEVON
PA231937219POtherFIRST HEALTH
PA4478419OtherAETNA
PAP845166OtherOXFORD
PA0054788000OtherKEYSTONE EAST
PA100010273OtherPALMETTO GBA
PA1021174005OtherCIGNA
PA231937219OtherTRICARE
PA000450112OtherHIGHMARK BLUE SHIELD
PA000450112OtherPERSONAL CHOICE
PA231937219POtherFIRST HEALTH