Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | D0047866 | MD |
NPI | 1003184482 |
---|---|
Provider Name | Dr. Ellen Werber Leschek |
First Address | Bethesda, MD 20892 |
Second Address | Bethesda, MD 20892 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2011 |
Last Update Date | 13/12/2011 |