Provider Demographics
NPI:1487751475
Name:LEIGHTON, BARBARA M (MD)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:M
Last Name:LEIGHTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3998 RED LION RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114
Mailing Address - Country:US
Mailing Address - Phone:215-612-8500
Mailing Address - Fax:215-612-2893
Practice Address - Street 1:3998 RED LION RD
Practice Address - Street 2:SUITE 250
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114
Practice Address - Country:US
Practice Address - Phone:215-612-8500
Practice Address - Fax:215-612-2893
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD047332L207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001643945006Medicaid
952780Medicare ID - Type Unspecified
PA001643945006Medicaid