Individual
MARIO EDUARDO TORRES-LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 GENERAL ST, LAWRENCE, MA 01841-2961
(978) 946-8103
(978) 946-8067
Mailing address
PO BOX 615, WEST ACTON, MA 01720
(978) 266-2676
(978) 266-2680
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15363
PR
2085R0202X
Diagnostic Radiology Physician
220904
MA
2085R0204X
Vascular & Interventional Radiology Physician
220904
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y011490MA01
NH BLUE SHIELD ANTHEM
NH
01
—
11438706
CAQH
MA
05
—
2060281
—
MA
01
—
2632995
CIGNA
MA
01
—
30206517
NH MEDICAID
NH
01
—
469118
TUFTS HEALTH PLAN
MA
01
—
7321567
AETNA/USHC
MA
01
—
73658
HEALTHY START
MA
01
—
91957
FALLON
MA
01
—
AA80872
HPHC
MA
01
—
J27466
BLUE CROSS-BLUE SHIELD
MA
01
—
P0038679
RR MEDICARE
MA
Enumeration date
08/24/2006
Last updated
06/05/2023
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