MEDICARE: MARTIN E LEBER M.D.

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	208000000X	Pediatrics Physician	33865	MA

General Provider Information

NPI Number	:	1730136318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTIN E LEBER M.D.

Provider Business Mailing Address
First Line	:	588 WALNUT ST
Second Line	:
City	:	NEWTONVILLE
State	:	MA
Zip	:	02460-2462
Country	:	US
Telephone Number	:	617-965-2730
Fax Number	:

Provider Business Practice Location Address
First Line	:	588 WALNUT ST
Second Line	:
City	:	NEWTONVILLE
State	:	MA
Zip	:	02460-2462
Country	:	US
Telephone Number	:	617-965-2730
Fax Number	:

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

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	07/08/2007

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Directions to “ MARTIN E LEBER M.D.” Practice Location

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