Marcus, Leonard Charles

Marcus, Leonard Charles is an individual health care provider with primary practice located at 1555 Commonwealth Ave , Newton MA 02465-2800. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Marcus, Leonard Charles can be contacted via phone (617) 527-4003.

Contact Information

Primary practice address
1555 Commonwealth Ave Newton MA 02465-2800
Phone: (617) 527-4003
Fax: (617) 964-6111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 33315 Massachusetts

Profile Details

NPI number 1548236722
LBN Legal business name Marcus, Leonard Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jul 8th, 2007 - 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 1548236722 NPPES
Massachusetts MEDICAID 2029596

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