Individual
DR. LESLIE M HIGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, HUNNEWELL BLDG., GROUND FLOOR, BOSTON, MA 02115-5724
(617) 355-2962
Mailing address
300 LONGWOOD AVE, HUNNEWELL BLDG., GROUND FLOOR, BOSTON, MA 02115-5724
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
155295
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3183700
—
MA
Enumeration date
08/15/2006
Last updated
07/08/2007
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