Individual
LEAH L WIBECAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114
(617) 726-2000
Mailing address
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114
(617) 726-2000
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
292837
MA
2084N0400X
Neurology Physician
292837
MA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
271765
MA
Other
Enumeration date
06/19/2017
Last updated
05/08/2025
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