Healthcare Provider Details

I. General information

NPI: 1447238647
Provider Name (Legal Business Name): AIMEE L LEONARD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92 MONTVALE AVE STE 3000
STONEHAM MA
02180-3658
US

IV. Provider business mailing address

92 MONTVALE AVE STE 3000
STONEHAM MA
02180-3658
US

V. Phone/Fax

Practice location:
  • Phone: 781-358-8429
  • Fax:
Mailing address:
  • Phone: 781-358-8429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number34236
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number226620
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number226620
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number34236
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: