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Individual

PATRICIA L. WEIL-LEFKOVITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-A

Contact information

Practice address
43 IVY RD, MALDEN, MA 02148-3620
(617) 421-5984
Mailing address
147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8051

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
223
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0014860
NEIGHBORHOOD HEALTH PLAN
MA
05
5103061
MA
01
AD0165
BLUE CROSS
MA
01
B501027
CIGNA
MA
01
PJ159
HARVARD PILGRIM
MA
Enumeration date
01/26/2006
Last updated
09/23/2009
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