Individual
IRA LEWIS LEEDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
800 HOWARD AVE, NEW HAVEN, CT 06519-1369
(203) 785-2615
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
68613
CT
208600000X
Surgery Physician
D0080737
MD
208600000X
Surgery Physician
P29146
MD
208C00000X
Colon & Rectal Surgery Physician
68613
CT
Other
Enumeration date
03/21/2013
Last updated
03/15/2023
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