Individual
KATHERINE LOUISE LEIBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
549 ORANGE ST APT 3, NEW HAVEN, CT 06511-3832
(484) 529-5681
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3014144
MA
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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