Individual
DR. MATTHEW I LEIBMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 WASHINGTON STREET, BLUE 201, NEWTON, MA 02462
(617) 965-4263
(617) 928-0597
Mailing address
2000 WASHINGTON STREET, BLUE 201, NEWTON, MA 02462
(617) 965-4263
(617) 928-0597
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
220082
MA
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
220082
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2069491
—
MA
Enumeration date
05/26/2006
Last updated
10/06/2011
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