Lieff, Jonathan D.

Lieff, Jonathan D. is an sole proprietor health care provider with primary practice located at 2100 Dorchester Ave , Dorchester Center MA 02124-5615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Lieff, Jonathan D. can be contacted via phone (617) 296-4012.

Contact Information

Primary practice address
2100 Dorchester Ave Dorchester Center MA 02124-5615
Phone: (617) 296-4012
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35689 Massachusetts

Profile Details

NPI number 1699708461
LBN Legal business name Lieff, Jonathan D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Jul 30th, 2008 - about 17 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 1699708461 NPPES
Massachusetts MEDICAID 2067307
Massachusetts Other M09335

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