Individual
MR. MATTHEW LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2287426
MA
390200000X
Student in an Organized Health Care Education/Training Program
RN2287426
MA
Other
Enumeration date
06/02/2018
Last updated
11/10/2020
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