Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 35619 | MA |
NPI | 1043369713 |
---|---|
Provider Name | Eugene W Leibowitz |
First Address | Pittsfield, MA 01201-9118 |
Second Address | Pittsfield, MA 01201-4111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 08/07/2007 |