Individual
DR. RICHARD J. LEIDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
286 HOSPITAL LOOP, BERLIN, VT 05602-9523
(802) 371-4820
(802) 371-4855
Mailing address
PO BOX 547, BARRE, VT 05641-0547
(802) 371-4820
(802) 371-4855
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
013870
ME
208800000X
Urology Physician
Primary
042.0012561
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003108601
MEDICARE PIN LINKED TO VN3891
VT
05
—
1021260
—
VT
Enumeration date
09/28/2006
Last updated
03/18/2013
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