Individual
BRUCE E LEITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 GLEN COVE DR, ROCKPORT, ME 04856-4240
(207) 596-8000
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 783-4079
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
012519
ME
2085R0202X
Diagnostic Radiology Physician
Primary
012519
ME
208600000X
Surgery Physician
012519
ME
Other
Enumeration date
06/13/2005
Last updated
07/16/2007
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