Martin, Leslie A

Martin, Leslie A is an individual health care provider with primary practice located at 736 Cambridge St Mother Mary Rose Fl 3, Brighton MA 02135-2907. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as her primary health care specialty. Martin, Leslie A can be contacted via phone (617) 780-3048.

Contact Information

Primary practice address
736 Cambridge St Mother Mary Rose Fl 3 Brighton MA 02135-2907
Phone: (617) 780-3048
Fax: (617) 789-2959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 42799 Massachusetts

Profile Details

NPI number 1124012299
LBN Legal business name Martin, Leslie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Feb 17th, 2009 - 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 1124012299 NPPES
Massachusetts MEDICAID 0195774

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