Individual
LEYLA HERISINAZHAD HERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
199 REEDSDALE RD, MILTON, MA 02186-3926
(617) 696-4600
Mailing address
199 REEDSDALE RD, MILTON, MA 02186-3926
(617) 696-4600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4351031832
MI
208M00000X
Hospitalist Physician
Primary
287943
MA
Other
Enumeration date
06/07/2018
Last updated
03/01/2023
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