Organization
PREMISE HEALTH OF MASSACHUSETTS, MEDICAL PC
Active
Other names
BAE Systems Lexington MA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON LEIZMAN MD (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
2 FORBES RD, LEXINGTON, MA 02421-7306
(781) 863-3206
(781) 863-4047
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
08/24/2022
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