Individual
MATTHEW LEIDL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 S HUNTINGTON AVE FL 7, BOSTON, MA 02130-4817
(857) 364-5795
Mailing address
150 S HUNTINGTON AVE FL 7, BOSTON, MA 02130-4817
(857) 364-5795
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
270631
MA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
270631
MA
Other
Enumeration date
05/08/2012
Last updated
06/14/2023
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