Individual
DR. LEILA MONTASER MONTASER KOUHSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
60 FENWOOD RD FL 4, BOSTON, MA 02115-6128
(617) 732-5500
Mailing address
60 FENWOOD RD FL 4, BOSTON, MA 02115-6128
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
1015812
MA
2084N0400X
Neurology Physician
1015812
MA
2084N0400X
Neurology Physician
290159
NY
2084N0400X
Neurology Physician
A159938
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
STUDENT, HEALTH CARE
NY
Enumeration date
04/11/2014
Last updated
12/22/2023
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