# LESLIE R. GASS, D.O., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447421862
- **Authorized official:** LESLIE R. GASS D.O. (PHYSICIAN)
- **Authorized official phone:** (207) 773-7330

## Contact information

- **Practice address:** 535 OCEAN AVE, PORTLAND, ME 04103-4973
- **Practice address phone:** (207) 773-7330
- **Practice address fax:** (207) 773-7340
- **Mailing address:** 535 OCEAN AVE, PORTLAND, ME 04103-4973
- **Mailing address phone:** (207) 773-7330
- **Mailing address fax:** (207) 773-7340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 1804 | ME | Yes |

## Other

- **Enumeration date:** 03/13/2008
- **Last updated:** 04/24/2012
