Individual
LEORA FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1020 BROADWAY, SOMERVILLE, MA 02144-1819
(617) 628-2160
(617) 628-8237
Mailing address
1020 BROADWAY, SOMERVILLE, MA 02144-1819
(617) 628-2160
(617) 628-8237
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50087
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050087
TUFTS HEALTH
MA
05
—
3158152
—
MA
01
—
7684
HARVARD PILGRIM HEALTHCAR
—
01
—
J02757
BCBS
MA
Enumeration date
11/02/2005
Last updated
12/09/2010
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