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NPI Code Detail

MEDICARE: JOSEPH M. LENEHAN MD PC

MEDICARE: JOSEPH M. LENEHAN MD PC
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
12086S0122XPlastic and Reconstructive Surgery Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750389664
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSEPH M. LENEHAN MD PC
Provider Business Mailing Address
First Line : 340 MAIN ST
Second Line : STE. 670
City : WORCESTER
State : MA
Zip : 01608-1604
Country : US
Telephone Number : 508-754-3566
Fax Number : 508-438-6364
Provider Business Practice Location Address
First Line : 55 FOGG RD
Second Line :
City : SOUTH WEYMOUTH
State : MA
Zip : 02190-2432
Country : US
Telephone Number : 781-340-4100
Fax Number : 781-340-4111
Authorized Official
Title or Position : PRESIDENT
Name : JOSEPH M LENEHAN
Credential : MD
Telephone Number : 781-340-4100
Provider Enumeration Date : 07/13/2005
Last Update Date : 08/01/2011

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