Provider Demographics
NPI:1588756274
Name:LEONARD J MARCHINSKI, MD PC
Entity type:Organization
Organization Name:LEONARD J MARCHINSKI, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARCHINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-375-6147
Mailing Address - Street 1:301 S 7TH AVE
Mailing Address - Street 2:SUITE 3020
Mailing Address - City:WEST READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611-1410
Mailing Address - Country:US
Mailing Address - Phone:610-375-6147
Mailing Address - Fax:610-378-9967
Practice Address - Street 1:301 S 7TH AVE
Practice Address - Street 2:SUITE 3020
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1410
Practice Address - Country:US
Practice Address - Phone:610-375-6147
Practice Address - Fax:610-378-9967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD027492E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02327800OtherKEYSTONE SENIOR BLUE
PA02327800OtherCAPITAL BLUE CROSS
PA063035Medicare ID - Type Unspecified