Individual
LEANN R CANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1611 CAMBRIDGE ST, INTERNAL MEDICINE, CAMBRIDGE, MA 02138-4302
(617) 661-5100
(617) 661-5226
Mailing address
1611 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4302
(617) 661-5100
(617) 661-5226
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
72713
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072713
TUFTS
MA
05
—
3085058
—
MA
01
—
J12123
BLUE CROSS
MA
01
—
PV947
HARVARD PILGRIM
MA
Enumeration date
01/31/2006
Last updated
01/07/2021
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