Individual
DR. LINDA H LEAVENWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
411 MASSACHUSETTS AVE, SUITE 202, ACTON, MA 01720-3739
(978) 635-0477
Mailing address
411 MASSACHUSETTS AVE, SUITE 202, ACTON, MA 01720-3739
(978) 635-0477
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
56101
MA
207VG0400X
Gynecology Physician
Primary
56101
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056101
TUFTS HEALTH PLAN
MA
01
—
13614
HARVARD PILGRIM HEALTH
MD
01
—
2018428
AETNA INSURANCE
MA
05
—
3023311
—
MA
01
—
82830
FALLON INSURANCE
MD
01
—
J06513
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
08/01/2005
Last updated
08/15/2012
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