Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD025080L | PA |
N | 2084N0400X | Neurologist | MD025080L | PA |
Y | 2084N0402X | Child Neurologist | MD025080L | PA |
NPI | 1033436548 |
---|---|
Provider Name | Dr. Leonard Joseph Graziani |
First Address | Jenkintown, PA 19046-3901 |
Second Address | Jenkintown, PA 19046-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2010 |
Last Update Date | 23/04/2010 |