Individual
ABRAHAM LEBENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, DIVISION OF THORACIC SURGERY BWH, BOSTON, MA 02115-6110
(617) 732-6824
Mailing address
111 CYPRESS ST, BROOKLINE, MA 02445-6002
(857) 307-0896
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
223872
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
223872
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD433389
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021087210001
—
PA
Enumeration date
10/18/2006
Last updated
06/20/2012
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