Individual
LEORA BOREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
115 MILL ST, BELMONT, MA 02478-1064
(617) 855-3124
Mailing address
115 MILL ST, BELMONT, MA 02478-1064
(617) 855-3124
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD11604
RI
2084P0800X
Psychiatry Physician
11604
RI
2084P0800X
Psychiatry Physician
Primary
238387
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050513332
UNITED BEHAVORIAL HEALTH
ID
01
—
1134115553
NPI
RI
01
—
29171
BLUECROSS BLUESHIELD RI
RI
01
—
369535
MHN
RI
01
—
412161
BLUE CHIP
RI
01
—
P00344436
RAILROAD MEDICARE
RI
Enumeration date
09/21/2005
Last updated
03/11/2010
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