Individual
EDWARD JOSEPH LEGARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 WALNUT STREET, SUITE201, WELLESLEY, MA 02481-2102
(781) 235-1224
Mailing address
40 WALNUT STREET, SUITE 201, WELLESLEY, MA 02481-2102
(781) 235-1224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
74822
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CX8007
MEDICARE LEGACY #
MA
Enumeration date
07/15/2006
Last updated
06/26/2019
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