Individual
JULIANNE ALLEN LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 HARRISON AVE, MENINO BUILDING, BOSTON, MA 02118
(617) 638-8605
Mailing address
720 HARRISON AVENUE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.1116
AL
363A00000X
Physician Assistant
Primary
PA6422
MA
Other
Enumeration date
03/11/2016
Last updated
10/29/2021
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