Individual
DR. JOHN S LEDBETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 HERRICK ST, STE 219, BEVERLY, MA 01915
(978) 927-0714
(978) 927-9135
Mailing address
75 HERRICK ST, STE 219, BEVERLY, MA 01915
(978) 927-0714
(978) 927-9135
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
54518
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3003418
—
MA
Enumeration date
07/21/2006
Last updated
04/14/2015
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