Kotkin, Leonid

Kotkin, Leonid is an individual health care provider with primary practice located at 280 Washington St Ste. 207, Brighton MA 02135-3511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kotkin, Leonid can be contacted via phone (617) 783-8875.

Contact Information

Primary practice address
280 Washington St Ste. 207 Brighton MA 02135-3511
Fax: (617) 782-3367
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 151270 Massachusetts

Profile Details

NPI number 1326035825
LBN Legal business name Kotkin, Leonid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Dec 5th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326035825 NPPES
Massachusetts MEDICAID 3159345

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