Individual
LEAH A. DUSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14 KNOWLTON DR, ACTON, MA 01720-2918
(978) 264-0064
Mailing address
14 KNOWLTON DR, ACTON, MA 01720-2918
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
220968
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110039190A
—
MA
Enumeration date
11/14/2005
Last updated
09/16/2021
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