Individual
MR. CHRISTOPHER GERALD LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(774) 222-3644
Mailing address
15 PORTER FARM RD, EAST BRIDGEWATER, MA 02333-1179
(774) 222-3644
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
08/01/2023
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