Individual
DR. LEONARDO JAVIER VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1504 N MAIN ST, PALMER, MA 01069-1215
(413) 283-3511
(413) 283-5396
Mailing address
1504 N MAIN ST, PALMER, MA 01069-1215
(413) 283-3511
(413) 284-4559
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
223086
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2100908
—
MA
05
—
7057674
—
RI
Enumeration date
09/27/2005
Last updated
01/30/2018
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