Individual
DR. CONSUELO ANA LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
477 SOUTHWICK RD, WESTFIELD, MA 01085-4795
(413) 562-5256
(413) 568-4757
Mailing address
477 SOUTHWICK RD, WESTFIELD, MA 01085-4795
(413) 562-5256
(413) 568-4757
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
212970
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110006138A
—
MA
Enumeration date
07/10/2012
Last updated
02/16/2022
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