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NPI Code Detail

MEDICARE: DR. PATRICK LEONG DO

MEDICARE: DR. PATRICK LEONG DO
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
1207Q00000XFamily Medicine Physician7813NH
2207R00000XInternal Medicine Physician151924MA

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 : 1447237003
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK LEONG DO
Provider Business Mailing Address
First Line : 440 FOLEY ST
Second Line :
City : SOMERVILLE
State : MA
Zip : 02145-1213
Country : US
Telephone Number : 857-282-0777
Fax Number :
Provider Business Practice Location Address
First Line : 440 FOLEY ST
Second Line :
City : SOMERVILLE
State : MA
Zip : 02145-1213
Country : US
Telephone Number : 857-282-0777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2005
Last Update Date : 08/02/2023

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