Individual
LEIF ERIC OLSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
70 KENYON AVE STE 210, WAKEFIELD, RI 02879-4253
(401) 788-8780
(401) 788-8787
Mailing address
PO BOX 229, WAKEFIELD, RI 02880-0229
(401) 788-3929
(401) 788-3939
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD11442
RI
208800000X
Urology Physician
Primary
MD11442
RI
208800000X
Urology Physician
MD24019
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7056699
—
RI
Enumeration date
05/27/2006
Last updated
02/11/2026
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