MEDICARE: DR. DAVID ELI LEEMAN MD

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
1	207RC0000X	Cardiovascular Disease Physician	55671	MA
2	207RI0011X	Interventional Cardiology Physician	55671	MA
3	207R00000X	Internal Medicine Physician	55671	MA

Other Identifiers

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

General Provider Information

NPI Number	:	1932193851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ELI LEEMAN MD

Provider Business Mailing Address
First Line	:	41 ARLO RD
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02464-1002
Country	:	US
Telephone Number	:	617-632-9204
Fax Number	:	617-632-7533

Provider Business Practice Location Address
First Line	:	185 PILGRIM RD
Second Line	:	BAKER 4
City	:	BOSTON
State	:	MA
Zip	:	02215-5324
Country	:	US
Telephone Number	:	617-632-9204
Fax Number	:	617-632-7533

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	05/08/2026

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Directions to “ DR. DAVID ELI LEEMAN MD” Practice Location

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