Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0101X | MOHS-Micrographic Surgeon | 226620 | MA |
NPI | 1447238647 |
---|---|
Provider Name | Aimee L Leonard |
First Address | Stoneham, MA 02180-3658 |
Second Address | Stoneham, MA 02180-3658 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2006 |
Last Update Date | 12/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
226620 | CONNECTICARE (01) | |
226620 | UNICARE GIC (01) | MA |
2362236 | CIGNA HEALTHCARE (01) | |
37948 | HEALTH NEW ENGLAND (01) | MA |
J29895 | BLUE CROSS BLUE SHIELD (01) | MA |