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Individual

DR. LEO S AISH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
736 CAMBRIDGE ST, ST. ELIZABETH'S MEDICAL CENTER, BRIGHTON, MA 02135-2907
(617) 789-3000
Mailing address
736 CAMBRIDGE ST, ST. ELIZABETH'S MEDICAL CENTER, BRIGHTON, MA 02135-2907
(617) 789-3000

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
79470
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3141756
MA
Enumeration date
02/15/2006
Last updated
07/08/2007
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