Organization
R. LESLIE SHELTON, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LESLIE SHELTON (OWNER)
(978) 840-6481
Entity
Organization
Contact information
Practice address
100 HOSPITAL RD, SUITE 2B, LEOMINSTER, MA 01453-2253
(978) 840-6481
(978) 840-0506
Mailing address
100 HOSPITAL RD, SUITE 2B, LEOMINSTER, MA 01453-2253
(978) 840-6481
(978) 840-0506
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M18235
BLUE CROSS
MA
Enumeration date
12/21/2006
Last updated
11/30/2007
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