Organization
BOSTON SPECIALISTS - ENDOSCOPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LEUNG MD (CEO)
(734) 846-4910
Entity
Organization
Contact information
Practice address
75 KNEELAND ST, BOSTON, MA 02111-1901
(617) 804-6767
(877) 726-8492
Mailing address
1 NASSAU ST UNIT 1906, BOSTON, MA 02111-1587
(734) 846-4910
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
04/04/2024
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