Individual
DR. LESLIE MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
521 MOUNT AUBURN ST, STE 103, WATERTOWN, MA 02472-4191
(617) 926-2414
(617) 926-8152
Mailing address
521 MOUNT AUBURN ST, STE 103, WATERTOWN, MA 02472-4191
(617) 926-2414
(617) 926-8152
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
203471
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3203913
—
MA
Enumeration date
01/27/2006
Last updated
01/22/2010
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