Individual
MADISON LECLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-3874
Mailing address
28 QUEENSBERRY ST, BOSTON, MA 02215-5258
(603) 781-2052
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
04/24/2025
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