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Individual

BRUCE M. LESLIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2000 WASHINGTON ST, SUITE 341, NEWTON, MA 02462-1650
(617) 964-0024
(617) 964-6374
Mailing address
2000 WASHINGTON ST, SUITE 341, NEWTON, MA 02462-1650
(617) 964-0024
(617) 964-6374

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
45233
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
045233
TUFTS
MA
01
17742
HARVARD PILGRIM
MA
01
B20204501
CIGNA
MA
01
B39185
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/13/2006
Last updated
04/24/2015
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