Individual
LEO XINGWEN LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 ALBANY STREET, SHAPIRO 9. SUITE B, BOSTON, MA 02118-2526
(617) 414-4290
(617) 414-4285
Mailing address
850 HARRISON AVENUE, YACC-BNC7, BOSTON, MA 02118-4001
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56228
MA
207RI0200X
Infectious Disease Physician
Primary
56228
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110047636A
—
MA
Enumeration date
09/22/2010
Last updated
01/14/2013
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