Facts
- Status
- A
- Credential
- M.D.
- Type
- Individual
- Enumeration date
- 2007-03-30
- Last updated
- 2007-07-08
Licenses
- License MA
- 80532
Location
- Practice location
- 232 LEAVITT ST
- City
- HINGHAM MA
- Postal code
- 020432925
- Phone
- 781-749-1657
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.