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NPI Code Detail

MEDICARE: MS. PATRICIA LEYDON LIC.AC.

MEDICARE:  MS. PATRICIA  LEYDON  LIC.AC.
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
1171100000XAcupuncturist0032MA

General Provider Information

NPI Number : 1790960243
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA LEYDON LIC.AC.
Provider Business Mailing Address
First Line : 44 GROVE HILL PARK
Second Line :
City : NEWTON
State : MA
Zip : 02460-2304
Country : US
Telephone Number : 617-610-2079
Fax Number :
Provider Business Practice Location Address
First Line : 44 GROVE HILL PARK
Second Line :
City : NEWTON
State : MA
Zip : 02460-2304
Country : US
Telephone Number : 617-610-2079
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2008
Last Update Date : 01/03/2008

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Directions to “ MS. PATRICIA LEYDON LIC.AC.” Practice Location

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