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NPI Code Detail

MEDICARE: DR. REBECCA J LEONG M.D.

MEDICARE:  DR. REBECCA J LEONG  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
1207L00000XAnesthesiology Physician71309MA

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 : 1922089952
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REBECCA J LEONG M.D.
Provider Business Mailing Address
First Line : 22 WESTWAY RD
Second Line :
City : WAYLAND
State : MA
Zip : 01778-2807
Country : US
Telephone Number : 508-358-3432
Fax Number :
Provider Business Practice Location Address
First Line : 22 WESTWAY RD
Second Line :
City : WAYLAND
State : MA
Zip : 01778-2807
Country : US
Telephone Number : 508-358-3432
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 11/24/2014

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Directions to “ DR. REBECCA J LEONG M.D.” Practice Location

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