DR. LESLIE STANISLAUS ANEWENAH

Address: 15-12 Valley Rd, Drexel Hill, PA 19026-5405
Phone: 3029835330

DR. LESLIE STANISLAUS ANEWENAH (NPI# 1508110198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508110198
Entity Type 1 - Individual
Full Name DR. LESLIE STANISLAUS ANEWENAH
Credential MD
Practice Address 15-12 Valley Rd
Drexel Hill
PA 19026-5405
Practice Telephone 3029835330
Enumeration Date 11/04/2012
Last Update Date 07/29/2015
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 15-12 VALLEY RD
City DREXEL HILL
State PA
Zip Code 19026-5405

Competitor

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City DREXEL HILL
Zip Code 19026

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.