Fishman, Leora
Fishman, Leora is an individual health care provider with primary practice located at 1020 Broadway , Somerville MA 02144-1819. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fishman, Leora can be contacted via phone (617) 628-2160.Contact Information
Primary practice address
1020 Broadway
Somerville MA 02144-1819
Phone: (617) 628-2160
Fax: (617) 628-8237
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 50087 | Massachusetts |
Profile Details
NPI number | 1013908599 |
---|---|
LBN Legal business name | Fishman, Leora |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 2nd, 2005 |
Last updated | Dec 9th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013908599 | NPPES |
Other | 7684 | HARVARD PILGRIM HEALTHCAR | |
Other | J02757 | HARVARD PILGRIM HEALTHCAR | |
Other | 050087 | HARVARD PILGRIM HEALTHCAR | |
MEDICAID | 3158152 | HARVARD PILGRIM HEALTHCAR |
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