Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DN1855952 | MA |
Y | 213EG0000X | General Practice | DN1855952 | MA |
NPI | 1003176819 |
---|---|
Provider Name | Dr. Danielle Marie Leonardi |
First Address | Allston, MA 02134 |
Second Address | Saugus, MA 01906 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2012 |
Last Update Date | 15/08/2012 |