Individual
LESLIE A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
736 CAMBRIDGE ST, MOTHER MARY ROSE FL 3, BRIGHTON, MA 02135-2907
(617) 780-3048
(617) 789-2959
Mailing address
77 WARREN ST., RM 339, BRIGHTON, MA 02135
(617) 562-5359
(617) 562-5415
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
42799
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0195774
—
MA
Enumeration date
09/06/2005
Last updated
02/17/2009
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