Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 281246 | MA |
Y | 111NI0900X | Internist | 281246 | MA |
N | 208D00000X | General Practice Physician | 268784 | MA |
NPI | 1023469525 |
---|---|
Provider Name | Benjamin Leffel |
First Address | Norwell, MA 02061-1620 |
Second Address | Weymouth, MA 02190 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2016 |
Last Update Date | 25/10/2019 |