Individual
DR. PAUL H LEROU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, FOUNDERS 526C, BOSTON, MA 02114-2621
(617) 724-9040
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-9040
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
209923
MA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
209923
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2103061
—
MA
01
—
468199
TUFTS HEALTH PLAN
MA
01
—
J28743
BCBS
MA
Enumeration date
04/19/2006
Last updated
03/07/2025
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