Individual
DR. LESLIE A VENSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40 2ND AVE, SUITE 400, WALTHAM, MA 02451-1132
(781) 487-4350
(781) 487-4351
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(781) 487-4350
(781) 487-4351
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57348
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3054799
—
MA
01
—
713954
TUFTS HEALTH PLAN
MA
01
—
J09081
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
06/03/2014
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