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NPI Code Detail

MEDICARE: ISABEL LEGARDA

MEDICARE: ISABEL LEGARDA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician218320MA

General Provider Information

NPI Number : 1033171913
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABEL LEGARDA
Provider Business Mailing Address
First Line : 36 WOODS RD
Second Line :
City : BELMONT
State : MA
Zip : 02478-3892
Country : US
Telephone Number : 617-489-4031
Fax Number :
Provider Business Practice Location Address
First Line : 326 NICHOLS RD
Second Line : SUITE 16
City : FITCHBURG
State : MA
Zip : 01420-1914
Country : US
Telephone Number : 978-665-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 07/08/2007

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Directions to “ ISABEL LEGARDA ” Practice Location

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