Individual
JENNIFER LEAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
195 CANAL ST STE 105, MALDEN, MA 02148-6701
(781) 338-0055
Mailing address
195 CANAL ST STE 105, MALDEN, MA 02148-6701
(781) 338-0055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
282725
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2017
Last updated
10/18/2021
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