Individual
MRS. LESLIE ANN NYSTUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
548 LEBANON STREET, MELROSE, MA 02176
(781) 665-4364
(781) 662-2284
Mailing address
548 LEBANON STREET, MELROSE, MA 02176
(781) 665-4364
(781) 662-2284
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
80019
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9787119
—
MA
Enumeration date
08/31/2006
Last updated
11/01/2011
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