Individual
DR. LESLIE D MAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 TER HEUN DR, FALMOUTH HOSPITAL, DEPT. OF PATHOLOGY, FALMOUTH, MA 02540-2503
(508) 457-3536
(508) 457-3641
Mailing address
100 TER HEUN DR, FALMOUTH HOSPITAL, DEPT. OF PATHOLOGY, FALMOUTH, MA 02540-2503
(508) 457-3536
(508) 457-3641
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
215994
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0179477
—
MA
01
—
220032798
RAILROAD MEDICARE
MA
01
—
351121
TUFTS HEALTH PLAN
MA
01
—
600372
HARVARD PILGRIM
MA
01
—
J25415
BCBS MA
MA
Enumeration date
02/20/2006
Last updated
02/23/2010
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