Gofman, Leonid
Gofman, Leonid is an sole proprietor health care provider with primary practice located at 10890 Bustleton Ave Suite 107, Philadelphia PA 19116-3313. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gofman, Leonid can be contacted via phone (215) 677-9910.Contact Information
Primary practice address
10890 Bustleton Ave Suite 107
Philadelphia PA 19116-3313
Phone: (215) 677-9910
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS028692L | Pennsylvania |
Profile Details
| NPI number | 1265455356 |
|---|---|
| LBN Legal business name | Gofman, Leonid |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265455356 | NPPES |
| Pennsylvania | MEDICAID | 001429794 |
Popular Providers
-
Salkowitz, Joseph
255 S 17Th St Ste 1201, Philadelphia PA 19103-6212 -
Wilfred, Stephen F
8415 Bustleton Ave , Philadelphia PA 19152-1901 -
Goldstein, Leonard Mark
2901 W Lehigh Ave , Philadelphia PA 19132-1810 -
Gamba, Thomas W
48 Snyder Ave , Philadelphia PA 19148-2710 -
Lam, Anthony Thanh
1611 S Broad St , Philadelphia PA 19148-1003 -
Meehan, Sean Christopher
240 S 40Th St , Philadelphia PA 19104-6030 -
Arshad, Mohammad
4200 N 8Th St , Philadelphia PA 19140-2213 -
Gurmankin, Robert S
7330 Frankford Ave , Philadelphia PA 19136-3828