Charles J. Leidner
Otolaryngologist (ENT Doctor)
55 Highland Avuene Suite 201
Salem
, Massachusetts 01970
Charles J. Leidner
Otolaryngologist (ENT Doctor)
55 Highland Avuene Suite 201
Salem
, Massachusetts 01970
(781) 599-1915
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Charles J. Leidner
- 12 Phillips Beach Avenue
- Swampscott, MA
- Zip : 01907
- Phone : (781) 599-1915
Second Address
- Charles J. Leidner
- 55 Highland Avuene Suite 201
- Salem, MA
- Zip : 01970
- Fax : (978) 744-4872
- Phone : (978) 745-6601
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 41165 | MA |
National Provider Identifier
| NPI | 1003889866 |
|---|---|
| Provider Name | Charles J. Leidner |
| First Address | Swampscott, MA 01907 |
| Second Address | Salem, MA 01970 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/02/2006 |
| Last Update Date | 01/08/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0012295 | NEIGHBORHOOD HEALTH (01) | MA |
| 041165 | TUFTS (01) | MA |
| 1000022 | UNITED HEALTH CARE (01) | MA |
| 19337 | HARVARD PILGRIM (01) | MA |
| 2054434 | (05) | MA |
| 2084278 | AETNA (01) | MA |
| 36228 | FALLON (01) | MA |
| A54210 | (02) | MA |
| D25068 | BLUE SHIELD (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.